Glen M Mathis, RPH is a
Pharmacist based in Girard, Kansas. Glen M Mathis is licensed to practice in Kansas (license number 206354) and his current practice location is
400 W Saint John St, Girard, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 724-4313.
NPI number for Glen M Mathis is 1942229679 and his current mailing address is 400 W Saint John St, Girard, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942229679.
Healthcare Provider's Profile
| Full Name | Glen M Mathis |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 400 W Saint John St, Girard, Kansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942229679
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 09/29/2020
Medical Identifiers
Medical identifiers for Glen M Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942229679 | NPI | - | NPPES |
| 100435000A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 206354 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glen M Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glen M Mathis, RPH
400 W Saint John St,
Girard, KS 66743-1213
Ph: (620) 724-4313 | Glen M Mathis, RPH
400 W Saint John St,
Girard, KS 66743-1213
Ph: (620) 724-4313 |
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