Organization
GLORY PHARMACY INC.
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
NORA ISKANDAR (SECRETARY)
(909) 542-9365
Entity
Organization
Contact information
Practice address
9675 MONTE VISTA AVE STE A, MONTCLAIR, CA 91763-2213
(626) 234-3186
Mailing address
9675 MONTE VISTA AVE STE A, MONTCLAIR, CA 91763-2213
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55669
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235668906
—
CA
01
—
5663427
NCPDP
CA
01
—
PHY55669
PHARMACY PERMIT
CA
Enumeration date
06/07/2017
Last updated
01/15/2026
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