Most Relevant Information
Provider Data
| NPI Number: | 1003825910 |
| Provider Name: | BRUCE GLICKMAN PHARMACIST |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 030803-1 |
Most Important Dates
| Enumeration Date: | 08/07/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
53B GREENVILLE RD
KATONAH
NY
105361525
Practice Location Phone/Fax
| Phone: | 9147725162 |
| Fax: |
Provider Mailing Location
53B GREENVILLE ROAD
KATONAH
NY
10536
Provider Mailing Phone/Fax
| Phone: | 9147725162 |
| Fax: |