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General NPI Number Information
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NPI Number | 1235668906
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Entity Type | Organization
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Legal Business Name | GLORY PHARMACY INC.
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 9675 MONTE VISTA AVE STE A
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City | MONTCLAIR
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State | CA
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Zip | 91763-2213
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Country | US
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Telephone | 626-234-3186
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Fax |
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Provider Business Mailing Address
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Address Line | 9675 MONTE VISTA AVE STE A
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City | MONTCLAIR
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State | CA
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Zip | 91763-2213
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | NORA ISKANDAR
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Credential |
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Telephone | 909-542-9365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55669
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License Number State | CA
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