GLENN OTAKE

SAN ANTONIO, TX
NPI1134460009
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TX  28645)
Enumeration Date2013-03-01
Last Update Date2013-03-01
Business Address
Mr. GLENN OTAKE RPH
9238 N LOOP 1604 W
SAN ANTONIO, TX 78249-2577
Phone number: 210-682-3419
Mailing Address
Mr. GLENN OTAKE RPH
8523 BRAUN KNL
SAN ANTONIO, TX 78254-5584
Phone number: 210-844-9426
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