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GLADE PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Glade Spring, Virginia

Provider NPI: 1669656179

Organization Information:
Organization Name:  GLADE PHARMACY LLC


Practice Location:
33472 LEE HWY  GLADE SPRING, VA 24340 US
Tel: 276-429-2004  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
VA0201004205
Y3336C0003XSuppliers
Pharmacy
TN4489

Other Provider Identifiers:

IssuerNumberStateType
166965617AVA05
PK210632701
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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