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Organization
TLC HEALTH NETWORK OUTPATIENT PHARMACY
Active
Organization
TLC HEALTH NETWORK OUTPATIENT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC STURM R.PH. (DIRECTOR OF PHARMACY)
(716) 951-7261
Entity
Organization
Contact information
Practice address
845 ROUTES 5 & 20, IRVING, NY 14081
(716) 951-7260
(716) 951-7262
Mailing address
845 ROUTES 5 & 20, IRVING, NY 14081
(716) 951-7260
(716) 951-7262
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
025264
NY
332BN1400X
Nursing Facility Supplies (DME)
025264
NY
3336C0003X
Community/Retail Pharmacy
025264
NY
3336I0012X
Institutional Pharmacy
025264
NY
3336L0003X
Long Term Care Pharmacy
Primary
025264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01862344
—
NY
Enumeration date
07/10/2006
Last updated
11/14/2007
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