Provider Demographics
NPI:1942283726
Name:GLORIUS, MARIANNE ELIZABETH (RPH,FACVP)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:ELIZABETH
Last Name:GLORIUS
Suffix:
Gender:F
Credentials:RPH,FACVP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6362 NW 65TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-2138
Mailing Address - Country:US
Mailing Address - Phone:352-817-4644
Mailing Address - Fax:352-690-7957
Practice Address - Street 1:11390 E HIGHWAY 316
Practice Address - Street 2:
Practice Address - City:FORT MC COY
Practice Address - State:FL
Practice Address - Zip Code:32134-8114
Practice Address - Country:US
Practice Address - Phone:352-236-0407
Practice Address - Fax:352-236-6343
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0033472183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist