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Tlc Health Network Outpatient Pharmacy

Pharmacy, Long Term Care Pharmacy in Irving, NY. Organization (NPI-2).

NPI number1902830516
StatusActive
Last updated in NPPESNov 14, 2007

Details

NPI
1902830516
Entity type
Organization (NPI-2)
Legal business name
Tlc Health Network Outpatient Pharmacy
Organization subpart
No
Enumeration date
Jul 10, 2006
Last updated
Nov 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336L0003X Pharmacy, Long Term Care Pharmacy025264NYYes
3336C0003X Pharmacy, Community/Retail Pharmacy025264NY
3336I0012X Pharmacy, Institutional Pharmacy025264NY
332B00000X Durable Medical Equipment & Medical Supplies025264NY
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies025264NY

Practice location

845 Routes 5 & 20
Irving, NY 14081

Phone 716-951-7260 · Fax 716-951-7262

Mailing address

845 Routes 5 & 20
Irving, NY 14081

Phone 716-951-7260 · Fax 716-951-7262

Authorized official

Eric Sturm
Director Of Pharmacy
7169517261

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