Organization
GLADE PHARMACY LLC
Active
Other names
GLADE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TAYLOR PHARM D (PIC)
(276) 429-2004
Entity
Organization
Contact information
Practice address
33472 LEE HWY, GLADE SPRING, VA 24340-5100
(276) 429-2004
(276) 429-2009
Mailing address
33472 LEE HWY, GLADE SPRING, VA 24340-5100
(276) 429-2004
(276) 429-2009
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
3336C0003X
Community/Retail Pharmacy
4489
TN
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166965617A
—
VA
01
—
2106327
PK
—
Enumeration date
12/19/2007
Last updated
09/19/2025
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