Carol Glorioso, RPH

Individual provider Active NPI Pharmacist · Lucas, TX

NPI 1487945432 · NPPES record last updated Apr 26, 2011

Key facts

NPI
1487945432
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
020270 (TX)
Practice address
34 Woodmoor Dr
Lucas, TX 75002
Phone
(972) 740-1180
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
020270TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020270 TX Yes

Addresses

Primary practice location

34 Woodmoor Dr
Lucas, TX 75002

Mailing address

34 Woodmoor Dr
Lucas, TX 75002
Phone (972) 740-1180

Other providers in Lucas, TX

All providers in Lucas, TX · Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.