Individual provider · Type 1 NPI

Juanice Gandy Glaze

Pharmacist · Hattiesburg, MS

NPI number 1013483601 Active

Practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Call (601) 288-4276 Map

Fax (601) 288-4163

Mailing address

3800 Jamestown Rd
Hattiesburg, MS 39402-2335

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XE-06754 (MS)
Pharmacist Primary 183500000XE06754 (MS)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1013483601

Juanice Gandy Glaze's National Provider Identifier is 1013483601, issued on Oct 22, 2018. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 22, 2018.