Organization
GLENDALE CLINIC PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILE DALAL RPH (PHARMACIST OWNER)
(414) 362-9560
Entity
Organization
Contact information
Practice address
9233 N GREEN BAY RD, BROWN DEER, WI 53209
(414) 362-9560
(414) 270-8140
Mailing address
9233 N GREEN BAY RD, BROWN DEER, WI 53209
(414) 362-9560
(414) 270-8140
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33143100
—
WI
Enumeration date
09/07/2006
Last updated
08/22/2020
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