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Organization

TDS INC

Active
Other names
NORWAY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN ROELL RPH (OWNER)
(906) 774-1044
Entity
Organization

Contact information

Practice address
514 MAIN ST, NORWAY, MI 49870-1238
(906) 563-5151
(906) 563-5978
Mailing address
PO BOX 189, IRON MOUNTAIN, MI 49801-0189
(906) 774-2841
(906) 774-3015

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
5301005252
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2040998
PK
05
2347107
MI
05
33169900
WI
Enumeration date
08/31/2006
Last updated
09/19/2025
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