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

Mr. Glenn Otake, RPH

Individual provider Pharmacist · NPI 1134460009

Mr. Glenn Otake, RPH is a Pharmacist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

9238 N Loop 1604 W
San Antonio, TX 78249-2577
Phone: (210) 682-3419
Fax: (210) 521-5184
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28645 (TX)

Record details

NPI number1134460009
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMarch 1, 2013
Last updated in NPPESMarch 1, 2013
Mailing address8523 Braun Knl, San Antonio, TX 78254-5584

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