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General NPI Number Information
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NPI Number | 1255256400
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Entity Type | Organization
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Legal Business Name | GLA PHARMACY, LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 4700 NW 7TH ST STE 1
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City | MIAMI
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State | FL
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Zip | 33126-2252
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Country | US
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Telephone | 305-640-5764
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Fax | 786-925-7436
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Provider Business Mailing Address
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Address Line | 4700 NW 7TH ST STE 1
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City | MIAMI
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State | FL
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Zip | 33126-2252
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Country | US
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Telephone |
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Fax | 786-925-7436
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Authorized Official
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Title or Position | PHARMACIST
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Name | GLEYVYS RODRIGUEZ
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Credential | PHARMD
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Telephone | 305-640-5764
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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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