Glen W Dace is a Pharmacist in Jackson, Mississippi. Glen W Dace practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Glen W Dace is 1255353231. The last update date is 2007-07-08.
Glen W Dace's current location address is 4019 Glennoak Dr, Jackson, Mississippi. You can contact this provider via phone number 6013721821. The mailing address for Glen W Dace is 4019 Glennoak Dr, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Glen W Dace |
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Address | 4019 Glennoak Dr, Jackson, Mississippi |
Phone Number | 6013721821 |
Fax Number | |
Sole Proprietor | N |
Credentials | PHARMD |
NPI Number Detail
NPI Number | 1255353231 |
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Provider Enumeration Date | 2006-07-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4019 Glennoak Dr |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392729223 |
Phone Number | 6013721821 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pharmacist |
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Taxonomy | 183500000X |
Licence No | E-08709 |
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
Post Comment/ Review Below
What is the unique identifier code issued to Glen W Dace by the Centers for Medicare & Medicaid Services?
The Glen W Dace has been assigned the NPI (National Provider Identifier) 1255353231. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Glen W Dace is located?
The Glen W Dace is situated at the following address: 4019 Glennoak Dr, Jackson, MS, 392729223.
What is the Glen W Dace's specialty and taxonomy code?
The Glen W Dace's specialty is Pharmacist, and the corresponding taxonomy code is 183500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255353231 to Glen W Dace?
The Centers for Medicare & Medicaid Services originally issued the 1255353231 to Glen W Dace on 2006-07-25.
As of what date were the Glen W Dace's details last updated?
The information pertaining to the Glen W Dace, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY