Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN PHILLIPS
Active Sole ProprietorGLEN PHILLIPS is a Pharmacist healthcare provider located in HORTENSE, Georgia. NPI 1679173488 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · HORTENSE, GA
Registration Details
- NPI Number
- 1679173488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2020 (5.8259811031349 yrs)
- Last Updated
- Oct 30, 2020
- License
-
RPH030914 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
83 CACTUS TRLHORTENSE, GA, 315432544Browse GA providers · Browse ZIP 31543
- Phone
- 9122946637
- Primary Specialty
-
Pharmacist
183500000X
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.