Organization
T.L.M. CONSULTANT SERVICES, LLC.
Active
Other names
Total Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA MITCHELL (OWNER)
(229) 328-8100
Entity
Organization
Contact information
Practice address
149 E WALTON ST, BACONTON, GA 31716-7705
(229) 787-5765
(229) 787-5766
Mailing address
149 E WALTON ST, BACONTON, GA 31716-7705
(229) 787-5765
(229) 787-5766
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010199
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171649A
—
GA
01
—
2155000
PK
—
Enumeration date
10/29/2015
Last updated
04/19/2017
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