Organization
TLC INTEGRATIVE PHARMACY INC
Active
Organization
TLC INTEGRATIVE PHARMACY INC
Active
Other names
TLC INTEGRATIVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY LEFELMAN RPH (OWNER PIC)
(425) 785-4955
Entity
Organization
Contact information
Practice address
15600 NE 8TH ST, STE K8, BELLEVUE, WA 98008-3927
(425) 653-2323
(425) 653-3535
Mailing address
15600 NE 8TH ST, STE K8, BELLEVUE, WA 98008-3927
(425) 653-2323
(425) 653-3535
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
CF00058793
WA
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932162
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/28/2006
Last updated
11/09/2012
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