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General NPI Number Information
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NPI Number | 1437023355
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Entity Type | Organization
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Legal Business Name | GLENDALE RX INC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3201 W PEORIA AVE STE B401
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City | PHOENIX
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State | AZ
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Zip | 85029-4610
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Country | US
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Telephone | 623-760-5573
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Fax |
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Provider Business Mailing Address
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Address Line | 19017 N 78TH LN
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City | GLENDALE
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State | AZ
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Zip | 85308-6105
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Country | US
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Telephone | 623-760-5573
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Fax | 602-457-3800
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Authorized Official
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Title or Position | PIC/OWNER
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Name | JOSEFINA LLAMERA-ELEMBABI
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Credential | RPH
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Telephone | 623-760-5573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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