Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN COREY PIERSON, R.PH.
Active Sole ProprietorGLEN COREY PIERSON, R.PH. is a Pharmacist healthcare provider located in OLALLA, Washington. NPI 1235301383 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · OLALLA, WA
Registration Details
- NPI Number
- 1235301383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2008 (18.36281625506 yrs)
- Last Updated
- Mar 28, 2008
- Licenses
-
PH00015079 (WA)PH00015079 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13603 BANDIX RD SEOLALLA, WA, 983599469Browse WA providers · Browse ZIP 98359
- Phone
- 2533029024
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacotherapy Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.