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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN ANDERSON

Active Sole Proprietor

GLEN ANDERSON is a Geriatric Pharmacist healthcare provider located in HEATH, Texas. NPI 1760855704 is currently active in the NPPES registry. Verify at CMS.

Geriatric Pharmacist · HEATH, TX

Registration Details

NPI Number
1760855704
Provider Type
Individual
Gender
Male
NPI Issued
Nov 12, 2015 (10.762999543069 yrs)
Last Updated
Nov 12, 2015
Licenses
28458 (TX)
10403 (AL)
Sole Proprietor
Yes

Practice Information

Address
31 TENNIS VILLAGE DR
HEATH, TX, 750325995
Browse TX providers · Browse ZIP 75032
Phone
9726799003
Primary Specialty
Geriatric Pharmacist
1835G0303X
Additional Specialty
Geriatric Pharmacist
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.