Provider Demographics
NPI:1780277962
Name:GLASER, DENNIS CHARLES (RPH)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:CHARLES
Last Name:GLASER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 FLORAL AVE
Mailing Address - Street 2:
Mailing Address - City:TERRACE PARK
Mailing Address - State:OH
Mailing Address - Zip Code:45174-1213
Mailing Address - Country:US
Mailing Address - Phone:513-248-2579
Mailing Address - Fax:513-248-2167
Practice Address - Street 1:305 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:OH
Practice Address - Zip Code:45176-1309
Practice Address - Country:US
Practice Address - Phone:513-724-7081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03311654183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist