Dr Glen W Dace Ii, PHARMD | |
1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | |
(601) 364-1550 | |
Not Available |
Full Name | Dr Glen W Dace Ii |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 1500 E Woodrow Wilson Ave, Jackson, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255353231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | E-08709 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Glen W Dace Ii, PHARMD 4019 Glennoak Dr, Jackson, MS 39272-9223 Ph: (601) 372-1821 | Dr Glen W Dace Ii, PHARMD 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 Ph: (601) 364-1550 |
Amy Green, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1497 Canton Mart Rd, Jackson, MS 39211 Phone: 601-956-2421 Fax: 601-978-3929 | |
Whitney Rowell Gerber, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-364-1352 | |
Ms. Sandra Terry-turner, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Mr. Glenn D Shaw, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-364-1555 | |
Hanna Kovalenko, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471 | |
Mrs. Nenia Powe, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-364-1555 Fax: 601-364-1578 | |
Katherine Duggan, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1497 Canton Mart Rd, Jackson, MS 39211 Phone: 601-978-3929 |