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Organization
GLADES DRUGS INC.
Active
Organization
GLADES DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIA TILLMAN (PRESIDENT)
(561) 402-6762
Entity
Organization
Contact information
Practice address
1095 BROKEN SOUND PKWY NW, BOCA RATON, FL 33487-3501
(561) 231-3131
Mailing address
733 RICKEY JACKSON BLVD, PAHOKEE, FL 33476-2500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295061497
—
OH
05
—
613319331
—
CA
Enumeration date
10/28/2021
Last updated
10/28/2021
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