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Organization
TLS PHARMACY CORP
Active
Organization
TLS PHARMACY CORP
Active
Other names
Centereach LTC Pharmacy, CENTEREACH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE SCHEINSON (PRESIDENT)
(631) 303-3088
Entity
Organization
Contact information
Practice address
26 CENTRAL AVE, HAUPPAUGE, NY 11788-4734
(631) 303-3088
(631) 468-8612
Mailing address
2155 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3520
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
025545
NY
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02323128
—
NY
01
—
3329768
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/07/2006
Last updated
01/28/2020
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