National Provider Identifier
Glenn Richard Davis
Glenn Richard Davis is listed in the NPPES registry with a primary specialty of Pharmacist in Webster, NY and a listed phone number of (585) 872-1380.
Profile Overview
- NPI
- 1639353113
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- December 20, 2007
- Last Updated
- February 19, 2010
Practice Location
- 985 Ridge RD
- Webster, NY 14580-2905
Phone: (585) 872-1380
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1639353113
- Entity Type
- Individual
- Last Name
- Davis
- First Name
- Glenn
- Middle Name
- Richard
- Name Prefix
- Mr.
- Mailing Street Address
- 985 Ridge RD
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-2905
- Mailing Country
- US
- Mailing Phone
- (585) 872-1380
- Mailing Fax
- (585) 872-1398
- Practice Street Address
- 985 Ridge RD
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2905
- Practice Country
- US
- Practice Phone
- (585) 872-1380
- Enumeration Date
- December 20, 2007
- Last Updated
- February 19, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 02519359 (NY)