Stokem, Glenn

Stokem, Glenn is an sole proprietor health care provider with primary practice located at 205 Main St , Salem NY 12865-0624. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stokem, Glenn can be contacted via phone (518) 854-3781.

Contact Information

Primary practice address
205 Main St Salem NY 12865-0624
Phone: (518) 854-3781
Fax: (518) 854-3827
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 31070 New York

Profile Details

NPI number 1972670362
LBN Legal business name Stokem, Glenn
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972670362 NPPES
New York MEDICAID 02510612

Popular Providers