Healthcare Provider Details

I. General information

NPI: 1932437712
Provider Name (Legal Business Name): TODDS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25871 FORD RD
DEARBORN HEIGHTS MI
48127-2934
US

IV. Provider business mailing address

25871 FORD RD
DEARBORN HEIGHTS MI
48127-2934
US

V. Phone/Fax

Practice location:
  • Phone: 313-406-5279
  • Fax: 313-406-5377
Mailing address:
  • Phone: 313-406-5279
  • Fax: 313-406-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number5301009300
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DAVID VALENTINE
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARM D
Phone: 313-406-5279