Individual provider · Type 1 NPI

Lisa Childers Glorioso

Pharmacist · Marshall, TX

NPI number 1154980357 Active

Practice location

717 S Washington Ave
Marshall, TX 75670-5337

Call (903) 938-6741 Map

Mailing address

4055 Hogan Dr Apt 3606
Tyler, TX 75709-6963

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X13101 (LA)
Pharmacist Primary 183500000X27316 (TX)

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 1154980357

Lisa Childers Glorioso's National Provider Identifier is 1154980357, issued on Jun 11, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Marshall, TX. The record was last updated on Jun 11, 2019.