Glendale Clinic Pharmacy Inc

LBN: Glendale Clinic Pharmacy Inc
Glendale Clinic Pharmacy Inc is an health care organization with primary practice located at 9233 N Green Bay Rd , Brown Deer WI 53209. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Glendale Clinic Pharmacy Inc can be contacted via phone (414) 362-9560, or through Dalal, Emile via phone (414) 362-9560.

Contact Information

Primary practice address
9233 N Green Bay Rd Brown Deer WI 53209
Phone: (414) 362-9560
Fax: (414) 270-8140
Website:
Map and Directions
Authorized official contact:
Name: Dalal, Emile RPH
Phone: (414) 362-9560

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1093818429
LBN Legal business name Glendale Clinic Pharmacy Inc
DBA Doing business as
Authorized official Dalal, Emile RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2006
Last updated Aug 22nd, 2020 - about 4 years 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 1093818429 NPPES
Wisconsin MEDICAID 33143100

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