Glory Homecare Services LLC
Pharmacy in Annandale, VA. Organization (NPI-2).
NPI number1467282954
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1467282954
- Entity type
- Organization (NPI-2)
- Legal business name
- Glory Homecare Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – | |
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Other names
- Glory Pharmacy Services LLC (Other Name)
Practice location
7025 Evergreen Ct Unit 7aAnnandale, VA 22003-3227
Phone 703-552-0010 · Fax 703-552-0090
Mailing address
7025 Evergreen Ct Unit 7aAnnandale, VA 22003-3227
Authorized official
Michelle Lee
Owner
7038672564
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