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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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