Organization
GLORY HOMECARE SERVICES LLC
Active
Other names
Glory Pharmacy Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE PHARMD. (OWNER)
(703) 867-2564
Entity
Organization
Contact information
Practice address
7025 EVERGREEN CT UNIT 7A, ANNANDALE, VA 22003-3227
(703) 552-0010
(703) 552-0090
Mailing address
7025 EVERGREEN CT UNIT 7A, ANNANDALE, VA 22003-3227
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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