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Contact Information

GLOTZBACH PHARMACY LLC
500 S. GRANT AVE.
FOWLER, IN47944
 Phone: 765-884-1520
 Fax: 765-884-8329
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GLOTZBACH PHARMACY LLC

NPI Number 1841216793
LBN Legal business name GLOTZBACH PHARMACY LLC
Authorized official ANGELA GLOTZBACH - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 08/01/2016 - About 10 years ago
Identifiers
IN License # 60006572A
Other 1510569 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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