Healthcare Provider Details
I. General information
NPI: 1386957207
Provider Name (Legal Business Name): TANDON'S ADVANCED PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2010
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7916 OAKLAND DR
PORTAGE MI
49024-4936
US
IV. Provider business mailing address
7157 HUNTERS RDG
KALAMAZOO MI
49009-7779
US
V. Phone/Fax
- Phone: 269-324-1100
- Fax: 269-324-2809
- Phone: 269-324-1100
- Fax: 269-324-2809
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ARUN
TANDON
Title or Position: PRESIDENT / OWNER
Credential: R.PH.
Phone: 269-271-2561