Organization
TLC MEDICAL CENTRE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZOOM HOANG HEATON RPH, CDE (CHIEF PHARMACIST PRESIDENT)
(803) 648-7800
Entity
Organization
Contact information
Practice address
190 CREPE MYRTLE CT, AIKEN, SC 29803-7543
(803) 648-7800
Mailing address
190 CREPE MYRTLE CT, AIKEN, SC 29803-7543
(803) 648-7800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50-007024
SC
333600000X
Pharmacy
50-007024
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE2364
—
SC
Enumeration date
08/15/2005
Last updated
03/29/2011
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