Glory Pharmacy Inc

LBN: Glory Pharmacy Inc
Glory Pharmacy Inc is an health care organization with primary practice located at 1462 Montreal Rd , Tucker GA 30084-6904. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Glory Pharmacy Inc can be contacted via phone (770) 934-5252, or through Afon, Timothy via phone (770) 934-5252.

Contact Information

Primary practice address
1462 Montreal Rd Tucker GA 30084-6904
Phone: (770) 934-5252
Fax: (770) 934-5959
Website:
Map and Directions
Authorized official contact:
Name: Afon, Timothy MSC PHARM MBA
Phone: (770) 934-5252

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008996 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1548206931
LBN Legal business name Glory Pharmacy Inc
DBA Doing business as
Authorized official Afon, Timothy MSC PHARM MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1548206931 NPPES
Other 1153903 OTHER ID NUMBER-COMMERCIAL NUMBER

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