MEDICARE: TDS PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	MI
2	332BX2000X	Oxygen Equipment & Supplies (DME)	MI
3	335E00000X	Prosthetic/Orthotic Supplier	MI
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	MI
5	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0984113	OTHER	MI	HPM
2	52554	OTHER	MI	NORTHWOOD/NPN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	540G902780	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1427029016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TDS PHARMACY INC

Provider Business Mailing Address
First Line	:	21 W SANILAC RD
Second Line	:
City	:	SANDUSKY
State	:	MI
Zip	:	48471-1036
Country	:	US
Telephone Number	:	810-648-3535
Fax Number	:	810-648-1896

Provider Business Practice Location Address
First Line	:	610 N STATE ST
Second Line	:
City	:	CARO
State	:	MI
Zip	:	48723-1544
Country	:	US
Telephone Number	:	800-922-5101
Fax Number	:	866-303-2221

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. TIMOTHY DALE SHELDON
Credential	:	R.PH.
Telephone Number	:	810-989-1340

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	06/05/2026

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Directions to “TDS PHARMACY INC ” Practice Location

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