Basic Information
| Provider Information | |||||||||
| NPI: | 1427191816 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GLASSER | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | R.PH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 943 | ||||||||
| Address2: | |||||||||
| City: | LEWISBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 249010943 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046454218 | ||||||||
| FaxNumber: | 3046451891 | ||||||||
| Practice Location | |||||||||
| Address1: | 370 SENECA TRL | ||||||||
| Address2: | FRITZ'S PHARMACY | ||||||||
| City: | RONCEVERTE | ||||||||
| State: | WV | ||||||||
| PostalCode: | 249701340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046451890 | ||||||||
| FaxNumber: | 3046451891 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | RP0003901 | WV | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.