Glenn Daniel Roberts, RPH is a
Pharmacist based in Tchula, Mississippi. Glenn Daniel Roberts is licensed to practice in Mississippi (license number E-07015) and his current practice location is
112 Mercer St, Tchula, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 235-4422.
NPI number for Glenn Daniel Roberts is 1891829677 and his current mailing address is Po Box 217, Tchula, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891829677.
Healthcare Provider's Profile
Full Name | Glenn Daniel Roberts |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 112 Mercer St, Tchula, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891829677
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 05/30/2017
Medical Identifiers
Medical identifiers for Glenn Daniel Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891829677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | E-07015 (Mississippi) | 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. Glenn Daniel Roberts 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 |
Glenn Daniel Roberts, RPH Po Box 217, Tchula, MS 39169-0217 Ph: (662) 235-4422 | Glenn Daniel Roberts, RPH 112 Mercer St, Tchula, MS 39169 Ph: (662) 235-4422 |
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