Individual provider · Type 1 NPI

Glenn John Shrader Iii, PHARM D

Pharmacist · Oklahoma City, OK

NPI number 1104107184 Active

Practice location

2345 N Classen Blvd
Oklahoma City, OK 73106-5804

Call (405) 521-0924 Map

Mailing address

15504 Blue Mesa Dr
Edmond, OK 73013-8848

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X14889 (OK)

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 1104107184

Glenn John Shrader Iii, PHARM D's National Provider Identifier is 1104107184, issued on Sep 2, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 2, 2011.