Organization
GLENNS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN STOKEN RPH (PRESIDENT)
(518) 854-3781
Entity
Organization
Contact information
Practice address
205 MAIN ST, SALEM, NY 12865
(518) 854-3781
(518) 854-3827
Mailing address
PO BOX 624, SALEM, NY 12865-0624
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
026476
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02510612
—
NY
05
—
1010393
—
UT
01
—
3336410
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
09/11/2025
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