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Tds Pharmacy Inc
Prosthetic/Orthotic Supplier in Marysville, Michigan
NPI 1750352340

Tds Pharmacy Inc is a Prosthetic/Orthotic Supplier based in Sandusky, MI. Tds Pharmacy Inc practices in Marysville, MI. The NPI Number for Tds Pharmacy Inc is 1750352340 and holds a License No. (Michigan).

The current practice location address for Tds Pharmacy Inc is 2303 Gratiot Blvd Ste B, Marysville, MI and can be reached out via phone at 810-364-3222 and via fax at 810-364-9747.

Location: 2303 Gratiot Blvd Ste B, Marysville, MI, 48471-1036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750352340
Provider Name
Tds Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
2303 Gratiot Blvd Ste B, Marysville, MI, 48471-1036
Phone Number
810-364-3222
Fax Number
810-364-9747
Provider Enumeration Date
01/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0984108 01 MI HPM
2858916 05 MI
52553 01 MI NORTHWOOD/NPN
540G403280 01 MI BCBSM
institution
Provider Business Practice Location Address Details
Address
2303 Gratiot Blvd Ste B
City
Marysville
State
Michigan
Zip
48040-2218
Phone Number
810-364-3222
Fax Number
810-364-9747
person
Provider Business Mailing Address Details
Address
2303 Gratiot Blvd Ste B
City
Marysville
State
Michigan
Zip
48040-2218
Phone Number
810-364-3222
Fax Number
810-364-9747
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Michigan)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
(Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
(Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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