Organization
GLOTZBACH PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA M GLOTZBACH PHARMD (OWNER/MANAGER)
(765) 884-1520
Entity
Organization
Contact information
Practice address
500 S. GRANT AVE., FOWLER, IN 47944
(765) 884-1520
(765) 884-8329
Mailing address
500 S. GRANT AVE., FOWLER, IN 47944
(765) 884-1520
(765) 884-8329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60006572A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1510569
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/14/2006
Last updated
08/01/2016
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