MANDERRIOUS GLENN

Pharmacist - Pharmacotherapy

Active Individual
NPI: 1154284388

Practice Address

3950 AUSTELL RD
Austell, GA 30106

Phone: (770) 732-4000

Specialties

Specialty Code Primary License
Pharmacist - Pharmacotherapy 1835P1200X Yes RPH035275 (GA)

Frequently Asked Questions

NPI 1154284388 is the National Provider Identifier for MANDERRIOUS GLENN, a Pharmacist - Pharmacotherapy provider located in Austell, GA. This NPI was enumerated on December 4, 2025.
MANDERRIOUS GLENN practices at 3950 AUSTELL RD, Austell, GA 30106.

Quick Facts

NPI
1154284388
Type
Individual
Enumerated
Dec 4, 2025
Last Updated
Dec 4, 2025

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