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NPI Code Detail

MEDICARE: GLOMBOWSKI LLC

MEDICARE: GLOMBOWSKI LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy

General Provider Information

NPI Number : 1720920341
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOMBOWSKI LLC
Provider Business Mailing Address
First Line : 3944 S STRAITS HWY
Second Line :
City : INDIAN RIVER
State : MI
Zip : 49749-5135
Country : US
Telephone Number : 231-238-2499
Fax Number : 231-238-2496
Provider Business Practice Location Address
First Line : 3944 S STRAITS HWY
Second Line :
City : INDIAN RIVER
State : MI
Zip : 49749-5135
Country : US
Telephone Number : 231-238-2499
Fax Number : 231-238-2496
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : JAMES MAURITZ GLOMBOWSKI
Credential : GLOMBOWSKI
Telephone Number : 989-330-7840
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/15/2026

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Directions to “GLOMBOWSKI LLC ” Practice Location

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