Organization
GLENDALE PHARMACY LLC
Active
Organization
GLENDALE PHARMACY LLC
Active
Other names
LELA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT GITAU (MANAGING OFFICER)
(302) 981-6163
Entity
Organization
Contact information
Practice address
4203 GARDENDALE ST STE 223C, SAN ANTONIO, TX 78229-3177
(210) 617-5507
(210) 617-4575
Mailing address
4203 GARDENDALE ST STE 223C, SAN ANTONIO, TX 78229-3177
(210) 617-5507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/23/2021
Last updated
07/19/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up