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
836 S VAN DYKE RD, BAD AXE, MI 48413-9604
(989) 269-6460
(989) 269-8121
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)
—
MI
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990316
HPM
MI
05
—
2858916
—
MI
01
—
540C702800
BCBSM
MI
01
—
57611
NORTHWOOD/NPN
MI
Enumeration date
01/31/2006
Last updated
07/21/2022
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