Provider Demographics
NPI:1477196889
Name:GLAZIER, THOMAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:
Last Name:GLAZIER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:
Mailing Address - City:BARLOW
Mailing Address - State:OH
Mailing Address - Zip Code:45712-0018
Mailing Address - Country:US
Mailing Address - Phone:740-678-2384
Mailing Address - Fax:740-678-2962
Practice Address - Street 1:8465 STATE ROUTE 339
Practice Address - Street 2:
Practice Address - City:VINCENT
Practice Address - State:OH
Practice Address - Zip Code:45784-5647
Practice Address - Country:US
Practice Address - Phone:740-678-2384
Practice Address - Fax:740-678-2962
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03319913183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist