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
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