| NPI | 1720789225 |
|---|---|
| Doing Business As | GLENRIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALIANCE RICHARD NELSON Owner 917-753-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |