The Medicine Shoppe
LBN: Glory Pharmacy, Inc.
The Medicine Shoppe is an health care organization with primary practice located at 9675 Monte Vista Ave Ste A , Montclair CA 91763-2213. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Glory Pharmacy, Inc. can be contacted via phone (626) 234-3186, or through Iskandar, Nora via phone (909) 542-9365.
Contact Information
Primary practice address
9675 Monte Vista Ave Ste A
Montclair CA 91763-2213
Phone: (626) 234-3186
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY55669 | California |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1235668906 |
|---|---|
| LBN Legal business name | Glory Pharmacy, Inc. |
| DBA Doing business as | The Medicine Shoppe |
| Authorized official | Iskandar, Nora |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2017 |
| Last updated | May 28th, 2024 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235668906 | NPPES |
| California | Other | 5663427 | NCPDP |
| California | MEDICAID | 1235668906 | NCPDP |
| California | Other | PHY55669 | NCPDP |
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