Organization
TOLANDS VENTURE INC
Active
Organization
TOLANDS VENTURE INC
Active
Other names
GLOVERS REXALL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE TOLAND BS (OWNER PRES)
(989) 839-9975
Entity
Organization
Contact information
Practice address
4000 JEFFERSON AVE, MIDLAND, MI 48640-3528
(989) 839-9975
(989) 839-1010
Mailing address
4000 JEFFERSON AVE, MIDLAND, MI 48640-3528
(989) 839-9975
(989) 839-1010
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301005982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2352172
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
2988901
—
MI
Enumeration date
11/28/2006
Last updated
04/07/2010
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