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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