Glidewell, Taylor

Glidewell, Taylor is an individual health care provider with primary practice located at 1205 S Division St , Carterville IL 62918-1909. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Glidewell, Taylor can be contacted via phone (618) 985-2441.

Contact Information

Primary practice address
1205 S Division St Carterville IL 62918-1909
Fax: (618) 985-5056
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051303839 Illinois

Profile Details

NPI number 1538741467
LBN Legal business name Glidewell, Taylor
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2021
Last updated Apr 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538741467 NPPES
Illinois Other 051303839 PHARMACIST LICENSE

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