# GLENDALE CHEMIST LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124556196
- **Authorized official:** GIUSTINA LOMBARDO (OWNER)
- **Authorized official phone:** (718) 366-3561

## Contact information

- **Practice address:** 6801 MYRTLE AVE, GLENDALE, NY 11385-7267
- **Practice address phone:** (718) 366-3561
- **Mailing address:** 6801 MYRTLE AVE, GLENDALE, NY 11385-7267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2017
- **Last updated:** 06/02/2017