Michael Alexander Glen, R.PH. Valid NPI
Individual provider · Pharmacist · Ferndale, WA
- NPI
- 1770724965
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- PH60216257 (WA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2009-03-17
- Last updated
- 2019-02-27
Practice location
Haggen Food And Pharmacy, 1815 Main Street
Ferndale, WA 98248
(360) 380-7210