Mason, Glenn Jay

Mason, Glenn Jay is an sole proprietor health care provider with primary practice located at 16 Stonybrook Rd , Norwalk CT 06851-2311. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mason, Glenn Jay can be contacted via phone (203) 846-4601.

Contact Information

Primary practice address
16 Stonybrook Rd Norwalk CT 06851-2311
Phone: (203) 846-4601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6298 Connecticut

Profile Details

NPI number 1558684100
LBN Legal business name Mason, Glenn Jay
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2010
Last updated Mar 10th, 2010 - about 15 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 1558684100 NPPES
Connecticut Other 6298 CT PHARMACY LICENSE NUMBER

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