Most Relevant Information
Provider Data
| NPI Number: | 1003460692 |
| Provider Name: | GLORI WAI |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH79337 |
Most Important Dates
| Enumeration Date: | 07/31/2019 |
| Last Updated: | 07/31/2019 |
Provider Practice Location
10734 INTERNATIONAL DR
RANCHO CORDOVA
CA
956707359
Practice Location Phone/Fax
| Phone: | 3147254477 |
| Fax: |
Provider Mailing Location
17785 PENNACOOK CT
SAN DIEGO
CA
921271369
Provider Mailing Phone/Fax
| Phone: | 8585275175 |
| Fax: |