# TDS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHELDON MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578534160
- **Authorized official:** MR. TIMOTHY DALE SHELDON R.PH (OWNER/PRESIDENT)
- **Authorized official phone:** (810) 989-1340

## Contact information

- **Practice address:** 836 S VAN DYKE RD, BAD AXE, MI 48413-9604
- **Practice address phone:** (989) 269-6460
- **Practice address fax:** (989) 269-8121
- **Mailing address:** 21 W SANILAC RD, SANDUSKY, MI 48471-1036
- **Mailing address phone:** (810) 648-3535
- **Mailing address fax:** (810) 648-1896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | MI | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | MI | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | MI | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | MI | — |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0990316 | HPM | MI |
| 05 | — | 2858916 | — | MI |
| 01 | — | 540C702800 | BCBSM | MI |
| 01 | — | 57611 | NORTHWOOD/NPN | MI |