| NPI | 1417133273 |
|---|---|
| Doing Business As | GLENDALE RX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID SHALTS PIC/CEO 818-500-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2019-02-27 |