Active NPIIndividual providerSole proprietor

Glenn Fortin, RPH

Pharmacist in Hanover, Massachusetts

NPI Number1073792099
Practice location
35 Columbia RD, Hanover, MA 02339-2317
Fax
781-499-4006
Last updated
October 26, 2007

Glenn Fortin is a Pharmacist based in Hanover, MA. Glenn Fortin practices in Hanover, MA and has the professional credentials of RPH. The NPI Number for Glenn Fortin is 1073792099 and holds a License No. 21965 (MA). The current practice location address for Glenn Fortin is 35 Columbia RD, Hanover, MA 02339-2317 and can be reached out via phone at 781-499-4003 and via fax at 781-499-4006.

Provider Profile Details

NPI Number
1073792099
Provider Name
Glenn Fortin
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
35 Columbia RD, Hanover, MA 02339-2317
Phone Number
781-499-4003
Fax Number
781-499-4006
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
October 26, 2007
Last Update Date
October 26, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Columbia RD
Hanover, MA 02339-2317
Zip
02339-2317
Phone Number
781-499-4003
Fax Number
781-499-4006
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
12 Foster Ave
Marshfield, MA 02050-3813
City
Marshfield
State
MA
Zip
02050-3813
Phone Number
781-499-4003
Fax Number
781-499-4006

License Information

License Number
21965
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glenn Fortin, RPH?

The NPI number of Glenn Fortin, RPH is 1073792099. It was assigned on October 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Glenn Fortin, RPH?

Glenn Fortin, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number 21965.

Where does Glenn Fortin, RPH practice?

The practice location is 35 Columbia RD, Hanover, MA 02339-2317. The office can be reached at 781-499-4003 (phone) or 781-499-4006 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073792099 directly on the NPPES registry website.

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