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Dr. Glen W Dace II, PHARMD
Pharmacist in Jackson, Mississippi
NPI 1255353231

Glen W Dace II is a Pharmacist based in Jackson, MS. Glen W Dace II practices in Jackson, MS and has the professional credentials of PHARMD. The NPI Number for Glen W Dace II is 1255353231 and holds a License No. E-08709 (Mississippi).

The current practice location address for Glen W Dace II is 1500 E Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-364-1550. You can also correspond with Glen W Dace II through the mailing address at 4019 GLENNOAK DR, JACKSON, MS - 39272-9223 (mailing address contact number: 601-372-1821).

Location: 1500 E Woodrow Wilson Ave, Jackson, MS, 39272-9223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255353231
Provider Name
Glen W Dace II
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
1500 E Woodrow Wilson Ave, Jackson, MS, 39272-9223
Phone Number
601-364-1550
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Woodrow Wilson Ave
City
Jackson
State
Mississippi
Zip
39216-5116
Phone Number
601-364-1550
Fax Number
person
Provider Business Mailing Address Details
Address
1500 E Woodrow Wilson Ave
City
Jackson
State
Mississippi
Zip
39216-5116
Phone Number
601-364-1550
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
E-08709 (Mississippi)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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