Provider Demographics
NPI:1891133922
Name:GLASER, RAYMOND STEVEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:STEVEN
Last Name:GLASER
Suffix:
Gender:M
Credentials:PHARM D
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 V
Mailing Address - Street 2:
Mailing Address - City:OSAKIS
Mailing Address - State:MN
Mailing Address - Zip Code:56360-0622
Mailing Address - Country:US
Mailing Address - Phone:320-859-2161
Mailing Address - Fax:320-859-2915
Practice Address - Street 1:PO BOX V
Practice Address - Street 2:
Practice Address - City:OSAKIS
Practice Address - State:MN
Practice Address - Zip Code:56360-0622
Practice Address - Country:US
Practice Address - Phone:320-859-2161
Practice Address - Fax:320-859-2915
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116767183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist