Provider Demographics
NPI:1902784838
Name:GLASS, CONOR EDWARD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CONOR
Middle Name:EDWARD
Last Name:GLASS
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 1:536 CANDLEWYCK RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2859
Mailing Address - Country:US
Mailing Address - Phone:484-631-5156
Mailing Address - Fax:
Practice Address - Street 1:32 W LEMON ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3057
Practice Address - Country:US
Practice Address - Phone:717-394-4013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459692183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist