IndividualActive
Glenn Joe
NPI 1871194977 · Pharmacist · Indianola, MS
Provider details
- NPI number
- 1871194977
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-08473 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
633 Highway 82 W
Indianola, MS 38751-2078
Phone: (662) 887-3788
Approximate (ZIP-level) locationGet directions
Mailing address
633 Highway 82 W
Indianola, MS 38751-2078
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.