Provider Demographics
NPI:1144639279
Name:GLASGOW, FITZ ALAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:FITZ
Middle Name:ALAN
Last Name:GLASGOW
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:FITZ
Other - Middle Name:
Other - Last Name:GLASGOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10224 COORS BYP NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4398
Mailing Address - Country:US
Mailing Address - Phone:505-897-6935
Mailing Address - Fax:505-899-0897
Practice Address - Street 1:10224 COORS BYP NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4398
Practice Address - Country:US
Practice Address - Phone:505-897-6935
Practice Address - Fax:505-899-0897
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2014-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist