Provider Demographics
NPI:1982206280
Name:TMC 325 LLC
Entity Type:Organization
Organization Name:TMC 325 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:URRIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-599-4830
Mailing Address - Street 1:40 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-5102
Mailing Address - Country:US
Mailing Address - Phone:718-599-4830
Mailing Address - Fax:718-599-4833
Practice Address - Street 1:40 S 3RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-5102
Practice Address - Country:US
Practice Address - Phone:718-599-4830
Practice Address - Fax:718-599-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy