Individual provider · Type 1 NPI

Glen Edward Wiese, R PH

Pharmacist · Del Rio, TX

NPI number 1790763068 Active

Practice location

714 N Bedell Ave
Del Rio, TX 78840-4111

Fax (830) 775-2797

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X18036 (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 1790763068

Glen Edward Wiese, R PH's National Provider Identifier is 1790763068, issued on Jan 5, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Del Rio, TX. The record was last updated on Jul 13, 2026.