NPI age
— years
Enumerated 2025-12-04
● Active
Type 1 · Individual
Manderrious L Glenn
Glenn is 1 of 3 pharmacist providers in Austell and 1 of 192 in Georgia.
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 192 active pharmacist providers in Georgia.
NPI age
0 years
↓ 19 yr below median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-12Enumerated in NPPES
2025
2026
Where they practice
Practice location
3950 Austell Rd
Austell, GA 301061121
Mailing address
723 Arbor Hill Dr
Stone Mountain, GA 300882363
Specialties
-
Pharmacist PrimaryA licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level...
Practice context
Part of a multi-provider practice. 270 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new pharmacist provider has been added in Austell in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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