Organization
TDS PHARMACY INC
Active
Other names
SHELDON MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY DALE SHELDON R.PH. (OWNER/PRESIDENT)
(810) 989-1342
Entity
Organization
Contact information
Practice address
21 W SANILAC RD, SANDUSKY, MI 48471-1036
(810) 648-3535
(810) 648-1896
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
—
—
333600000X
Pharmacy
5301005745
MI
335E00000X
Prosthetic/Orthotic Supplier
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0984112
HPM
MI
05
—
2858916
—
MI
01
—
52551
NORTHWOOD/NPN
—
01
—
540G60367
BCBSM
MI
Enumeration date
01/27/2006
Last updated
07/21/2022
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