Organization
GLENWOOD PHARMACY LLC
Active
Other names
Pharm-D Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ILOMANI YADGAROV (SUPERVISOR PHARMACIST)
(973) 743-3300
Entity
Organization
Contact information
Practice address
312 GLENWOOD AVE, BLOOMFIELD, NJ 07003
(973) 743-3300
(973) 743-3303
Mailing address
312 GLENWOOD AVE, BLOOMFIELD, NJ 07003
(973) 743-3300
(973) 743-3303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00754700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006581085
—
NJ
01
—
2168184
PK
—
Enumeration date
02/21/2017
Last updated
06/11/2025
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