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Contact Information

GARY R GLISSON, R PH
117 W CHURCH ST
NASHVILLE, NC27856-1327
 Phone: 252-459-2135
 Fax: 252-459-9300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Assistant, Podiatric

211D00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for GARY R GLISSON · (Male)

NPI Number 1033111968
Status Active
Credentials R PH
Entity Individual
Enumeration date 08/11/2005
Last updated 03/12/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 20733
  • NC License # 7023
  • NC Medicaid 7795227
  • NC Other 20733 BCP-BOARD OF CERTIFICATION IN PEDORTHICS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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