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Organization

TDS PHARMACY INC

Active
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Organization

TDS PHARMACY INC

Active
Other names
SHELDON MEDICAL SUPPLY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY DALE SHELDON R.PH. (OWNER/PRESIDENT)
(810) 989-1340
Entity
Organization

Contact information

Practice address
2303 GRATIOT BLVD STE B, MARYSVILLE, MI 48040-2218
(810) 364-3222
(810) 364-9747
Mailing address
21 W SANILAC RD, SANDUSKY, MI 48471-1036
(810) 648-3535
(810) 648-1896

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0984108
HPM
MI
05
—
2858916
—
MI
01
—
52553
NORTHWOOD/NPN
MI
01
—
540G403280
BCBSM
MI
Enumeration date
01/31/2006
Last updated
07/21/2022
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