Individual provider · Type 1 NPI

Glen W. Dace Ii, PharmD

Pharmacist · Jackson, MS

NPI number 1255353231 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Call (601) 364-1550 Map

Mailing address

4019 Glennoak Dr
Jackson, MS 39272-9223

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XE-08709 (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 1255353231

Glen W. Dace Ii, PharmD's National Provider Identifier is 1255353231, issued on Jul 25, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.