MEDICARE: TLC PHARMACY SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy
3	3336C0004X	Compounding Pharmacy	PHRE008047	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2152722	OTHER		PK

General Provider Information

NPI Number	:	1447632641
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLC PHARMACY SERVICES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 410
Second Line	:
City	:	CLERMONT
State	:	GA
Zip	:	30527-0410
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5231 CLEVELAND HWY
Second Line	:
City	:	CLERMONT
State	:	GA
Zip	:	30527-2205
Country	:	US
Telephone Number	:	770-983-1495
Fax Number	:	770-983-9580

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONNIE CAIN
Credential	:
Telephone Number	:	770-983-1495

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	06/24/2015

Similar Medicare Providers

1700879012 — ROBERT E. TAYLOR D.O.
Practice Location Address:

5281 CLEVELAND HWY
CLERMONT, GA
30527-2205

Practice Phone: 770-983-7611
Practice Fax: 770-983-9143

1205982352 — WAUKA MOUNTAIN PHARMACY INC
Practice Location Address:

5233 CLEVELAND HWY
CLERMONT, GA
30527-2205

Practice Phone: 770-983-9556
Practice Fax: 770-983-9580

1255466702 — DR. JAMES L. CANNON DDS,MS
Practice Location Address:

5297 CLEVELAND HWY
CLERMONT, GA
30527-2205

Practice Phone: 770-983-7633
Practice Fax: 770-983-7884

1548444573 — MRS. JENNIFER CARTER WIEGAND ACNP
Practice Location Address:

5281 CLEVELAND HWY
CLERMONT, GA
30527-2205

Practice Phone: 770-983-4611
Practice Fax: 770-983-9143

1285033357 — SHWETA WOODSMALL PHARM D
Practice Location Address:

5233 CLEVELAND HWY
CLERMONT, GA
30527-2205

Practice Phone: 770-983-9556
Practice Fax:

1629565460 — DR. SARAH YU MD
Practice Location Address:

5281 CLEVELAND HWY
CLERMONT, GA
30527-2205

Practice Phone: 770-219-9350
Practice Fax:

Directions to “TLC PHARMACY SERVICES, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.