Glen Phillips, is a
Pharmacist based in Hortense, Georgia. Glen Phillips is licensed to practice in Georgia (license number RPH030914) and his current practice location is
83 Cactus Trl, Hortense, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 294-6637.
NPI number for Glen Phillips is 1679173488 and his current mailing address is 6586 Hwy 40, Saint Marys, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679173488.
Healthcare Provider's Profile
| Full Name | Glen Phillips |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 83 Cactus Trl, Hortense, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1679173488
- Provider Enumeration Date: 10/30/2020
- Last Update Date: 10/30/2020
Medical Identifiers
Medical identifiers for Glen Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679173488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | RPH030914 (Georgia) | 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 Phillips 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 Phillips,
6586 Hwy 40,
Saint Marys, GA 31558-4039
Ph: () - | Glen Phillips,
83 Cactus Trl,
Hortense, GA 31543-2544
Ph: (912) 294-6637 |
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