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Organization
TLC PHARMACY SERVICES, INC.
Active
Organization
TLC PHARMACY SERVICES, INC.
Active
Other names
TLC Pharmacy Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE CAIN (PRESIDENT)
(770) 983-1495
Entity
Organization
Contact information
Practice address
5231 CLEVELAND HWY, CLERMONT, GA 30527-2205
(770) 983-1495
(770) 983-9580
Mailing address
PO BOX 410, CLERMONT, GA 30527-0410
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHRE008047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152722
PK
—
Enumeration date
06/24/2015
Last updated
06/24/2015
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