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Organization
TJT PHARMACY, INC
Active
Organization
TJT PHARMACY, INC
Active
Other names
Berg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY TUFTY (PRESIDENT)
(815) 589-2233
Entity
Organization
Contact information
Practice address
1016 4TH ST, FULTON, IL 61252-1716
(815) 589-2233
(815) 589-4789
Mailing address
1016 4TH ST, FULTON, IL 61252-1716
(815) 589-2233
(815) 589-4789
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212195
MEDICARE LEGACY NUMBER
IL
Enumeration date
09/07/2005
Last updated
12/03/2007
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