Provider Demographics
NPI:1801202965
Name:GLYNN-SERVEDIO, BRIANNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:GLYNN-SERVEDIO
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 ENCHANTING WAY
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8372
Mailing Address - Country:US
Mailing Address - Phone:908-601-3800
Mailing Address - Fax:
Practice Address - Street 1:3305 SUNGATE BLVD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2871
Practice Address - Country:US
Practice Address - Phone:919-212-0129
Practice Address - Fax:919-255-1540
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24231183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist