Organization
THE GLAM SHOP BY ANITRA SHAREE LLC
Active
Organization
THE GLAM SHOP BY ANITRA SHAREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITRA NASH PHIFER HAIR LOSS SPECIALIST (OWNER)
(704) 923-1469
Entity
Organization
Contact information
Practice address
120 E MAIN AVE, GASTONIA, NC 28052
(704) 923-1469
Mailing address
3306 TABLE ROCK DR, GASTONIA, NC 28052-5437
(704) 923-1469
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
09/28/2025
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