Glade Ltc

LBN: Glade Ltc, Llc
Glade Ltc is an health care organization with primary practice located at 305 Falls Dr Nw , Abingdon VA 24210-8093. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Glade Ltc, Llc can be contacted via phone (276) 776-1920, or through Jennings, Seth via phone (276) 776-1920.

Contact Information

Primary practice address
305 Falls Dr Nw Abingdon VA 24210-8093
Phone: (276) 776-1920
Fax: (276) 776-1930
Website:
Map and Directions
Authorized official contact:
Name: Jennings, Seth PHARMD
Phone: (276) 776-1920

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 0201004205 Virginia

Profile Details

NPI number 1760974547
LBN Legal business name Glade Ltc, Llc
DBA Doing business as Glade Ltc
Authorized official Jennings, Seth PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2018
Last updated May 20th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760974547 NPPES
Virginia MEDICAID 1760974547

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