Provider Demographics
NPI:1679785851
Name:GLASSMAN, ERIC LOUIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LOUIS
Last Name:GLASSMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HOLT RD
Mailing Address - Street 2:C/O PHARMACY
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-9102
Mailing Address - Country:US
Mailing Address - Phone:585-872-9717
Mailing Address - Fax:585-872-3019
Practice Address - Street 1:900 HOLT RD
Practice Address - Street 2:C/O PHARMACY
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-9102
Practice Address - Country:US
Practice Address - Phone:585-872-9717
Practice Address - Fax:585-872-3019
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049706-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist