Organization
TLC PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY YOUNG (PHARMACIST)
(405) 924-3006
Entity
Organization
Contact information
Practice address
5510 S WESTERN AVE, OKLAHOMA CITY, OK 73109-4511
(405) 412-8054
Mailing address
PO BOX 721622, OKLAHOMA CITY, OK 73172-1622
(405) 412-8054
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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