Provider Demographics
NPI:1679759716
Name:GLINSKY, MARK (RPH)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:GLINSKY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 W 23RD ST
Mailing Address - Street 2:DUANE READE PHARMACY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9404
Mailing Address - Country:US
Mailing Address - Phone:212-255-5900
Mailing Address - Fax:212-206-1133
Practice Address - Street 1:140 W 23RD ST
Practice Address - Street 2:DUANE READE PHARMACY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9404
Practice Address - Country:US
Practice Address - Phone:212-255-5900
Practice Address - Fax:212-206-1133
Is Sole Proprietor?:No
Enumeration Date:2008-01-19
Last Update Date:2008-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY045941183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist