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Organization
TLC PHARMACY INC
Active
Organization
TLC PHARMACY INC
Active
Other names
TLC PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SOBOLESKI (PRES)
(315) 786-1746
Entity
Organization
Contact information
Practice address
1509 STATE ST, WATERTOWN, NY 13601-3517
(315) 786-1746
(315) 786-7137
Mailing address
PO BOX 21, WATERTOWN, NY 13601-0021
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02544232
—
NY
01
—
3332993
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/19/2005
Last updated
04/29/2009
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