Organization
GLORY GLOBAL GROUP INCORPORATION
Active
Other names
Glory Global Group Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
OLUBODE OLATUNJI (PRESIDENT)
(352) 610-4410
Entity
Organization
Contact information
Practice address
5192 MARINER BLVD, SPRING HILL, FL 34609-1802
(352) 610-4410
(352) 610-4411
Mailing address
5192 MARINER BLVD., SPRING HILL, FL 33609
(352) 610-4410
(352) 610-4411
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050385
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/09/2009
Last updated
11/23/2009
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