Glade Pharmacy Llc in Glade Spring - Pharmacy

Glade Pharmacy Llc - NPI 1669656179

Glade Pharmacy Llc is a Pharmacy in Glade Spring, Virginia. Glade Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Glade Pharmacy Llc is 1669656179. The last update date is 2018-07-19.

Glade Pharmacy Llc's current location address is 33472 Lee Hwy, Glade Spring, Virginia. You can contact this provider via phone number 2764292004 and fax number 2764292009. The mailing address for Glade Pharmacy Llc is 33472 Lee Hwy, Glade Spring, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Glade Pharmacy Llc
Address 33472 Lee Hwy, Glade Spring, Virginia
Phone Number 2764292004
Fax Number 2764292009
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PIC
Authorized Official Name Taylor Jeffrey
Credentials PHARM D
Telephone Number 2764292004

NPI Number Detail

NPI Number 1669656179
Provider Enumeration Date 2007-12-19
Last Updated Date 2018-07-19

Provider Mailing Address Detail

Address 33472 Lee Hwy
City Glade Spring
State Virginia (VA)
Post Code 243405100
Phone Number 2764292004
Fax Number 2764292009

Provider's Primary Taxonomy Detail

Speciality Pharmacy
Taxonomy 333600000X
Licence No 201004205
Definition:
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
166965617A VA --
2106327 PK

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FAQs about Glade Pharmacy Llc

What is the Glade Pharmacy Llc's unique identification number?

The Glade Pharmacy Llc has been assigned the NPI (National Provider Identifier) Number 1669656179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Glade Pharmacy Llc?

The Glade Pharmacy Llc is physically situated at 33472 Lee Hwy, in the city of Glade Spring, state of VA, with the postal code 243405100.

What is Glade Pharmacy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Glade Pharmacy Llc's specialized field of practice is Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 333600000X.

On what date did the Glade Pharmacy Llc receive its 1669656179 assignment from the Centers for Medicare & Medicaid Services?

The Glade Pharmacy Llc was assigned its 1669656179 by the Centers for Medicare & Medicaid Services on 2007-12-19.

As of what date was the information pertaining to Glade Pharmacy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Glade Pharmacy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-07-19.

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