Organization
COMFORTIAL HEALTH SYSTEM
Active
Other names
GLORY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUSEYI BAMIDELE ILORI (PHARMACIST)
(410) 551-0448
Entity
Organization
Contact information
Practice address
3404 EASTERN AVE, BALTIMORE, MD 21224-4121
(410) 551-0448
Mailing address
3404 EASTERN AVE, BALTIMORE, MD 21224-4121
(410) 551-0448
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
16660
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16660
MARYLAND BOARD NUMBER
MD
01
—
RP441526
PENNSYLVANIA LICENSE NUMBER
PA
Enumeration date
08/18/2017
Last updated
08/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us