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General NPI Number Information
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NPI Number | 1720920341
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Entity Type | Organization
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Legal Business Name | GLOMBOWSKI LLC
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 3944 S STRAITS HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749-5135
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Country | US
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Telephone | 231-238-2499
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Fax | 231-238-2496
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Provider Business Mailing Address
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Address Line | 3944 S STRAITS HWY
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City | INDIAN RIVER
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State | MI
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Zip | 49749-5135
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Country | US
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Telephone | 231-238-2499
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Fax | 231-238-2496
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | JAMES MAURITZ GLOMBOWSKI
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Credential | GLOMBOWSKI
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Telephone | 989-330-7840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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