Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manderrious L Glenn

Individual provider Pharmacotherapy Pharmacist · NPI 1154284388

Manderrious L Glenn is a Pharmacotherapy Pharmacist in Austell, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence RPH035275 (GA)

Record details

NPI number1154284388
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address723 Arbor Hill Dr, Stone Mountain, GA 30088-2363

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