Organization
TLC PHARMACY SERVICES, INC.
Active
Other names
TLC Pharmacy Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE CAIN (PRESIDENT)
(770) 983-1495
Entity
Organization
Contact information
Practice address
5231 CLEVELAND HWY, CLERMONT, GA 30527-2205
(770) 983-1495
(770) 983-9580
Mailing address
PO BOX 410, CLERMONT, GA 30527-0410
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHRE008047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152722
PK
—
Enumeration date
06/24/2015
Last updated
06/24/2015
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