Organization
GLENDALE PHARMACY INC
Active
Other names
APS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE P BLOSS (SR. VP/CFO)
(718) 559-0534
Entity
Organization
Contact information
Practice address
6116 COOPER AVE, GLENDALE, NY 11385-6115
(718) 381-0886
(718) 381-0568
Mailing address
142-02 20TH AVENUE, FLUSHING, NY 11351-9712
(718) 559-0516
(718) 762-6140
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3359949
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2008
Last updated
03/20/2012
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