Tds Inc

LBN: Tds Inc
Tds Inc is an health care organization with primary practice located at 1112 S Stephenson Ave , Iron Mountain MI 49801-4038. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tds Inc can be contacted via phone (906) 774-3654, or through Roell, Stephen via phone (906) 774-1044.

Contact Information

Primary practice address
1112 S Stephenson Ave Iron Mountain MI 49801-4038
Fax: (906) 774-5502
Website:
Authorized official contact:
Name: Roell, Stephen RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 5301002759 Michigan
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH30515 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X 1815-43 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1811974488
LBN Legal business name Tds Inc
DBA Doing business as
Authorized official Roell, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811974488 NPPES
Other 2040090 PK
MEDICAID 2305781 PK
MEDICAID 33126100 PK

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