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Contact Information

TLA PHARMACY INC
395 AVENUE X
BROOKLYN, NY11223-6004
 Phone: 718-339-3131
 Fax: 718-339-9232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TLA PHARMACY INC

NPI # 1184917163
LBN Legal business name TLA PHARMACY INC
Authorized official TATYANA LEVIK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/24/2011
Last updated 04/01/2016 - About 10 years ago
Identifiers
NY License # 030803
NY Medicaid 03340618
Other 2132013 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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