Lynette Renae Glockner, RPH

Individual provider Active NPI Community/Retail Pharmacy · Mathews, VA

NPI 1831677459 · NPPES record last updated Aug 6, 2018

Key facts

NPI
1831677459
Entity type
Individual (NPI type 1)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Practice address
10858 Buckley Hall Rd
Mathews, VA 23109
Phone
(804) 725-2556
Fax
(804) 725-0786
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lynette R Glockner, Inc. Community/Retail Pharmacy Current Accepting new patients
Christy B. Brown, Inc. Community/Retail Pharmacy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

10858 Buckley Hall Rd
Mathews, VA 23109

Mailing address

11451 Coveside PT
Gloucester, VA 23061-2576
Phone (804) 725-2556

Other providers in Mathews, VA

All providers in Mathews, VA · Community/Retail Pharmacy in Virginia

Sources for this page

Verify at the official NPI Registry.