NPI 1053531590

Heidi Ann Glen, PHARMD

Practitioner Pharmacist Lebanon, OR

Practice location

Address: 525 N Santiam Hwy, Lebanon, OR 97355-4363
Phone: (541) 451-7565
Mailing address: 30618 W View St, Lebanon, OR 97355-8831

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0010972 (OR)

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Registry record

NPI: 1053531590
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.