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Organization
TLK OF CORTLAND INC
Active
Organization
TLK OF CORTLAND INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ROBERTS RPH (OWNER PHARMACIST)
(607) 756-4563
Entity
Organization
Contact information
Practice address
1099 STATE ROUTE 222, CORTLAND, NY 13045-1844
(607) 756-4563
(607) 753-0896
Mailing address
1099 STATE ROUTE 222, CORTLAND, NY 13045-1844
(607) 756-4563
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
30302
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01269447
—
NY
01
—
3319060
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
11/15/2006
Last updated
03/07/2023
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