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NPI Code Detail

MEDICARE: TODDS PHARMACY INC

MEDICARE: TODDS PHARMACY INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
13336C0004XCompounding Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy5301009300MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12124015OTHERPK

General Provider Information

NPI Number : 1932437712
Entity Type Code : Organization
Provider Name (Legal Business Name) : TODDS PHARMACY INC
Provider Business Mailing Address
First Line : 25871 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2934
Country : US
Telephone Number : 313-406-5279
Fax Number : 313-406-5377
Provider Business Practice Location Address
First Line : 25871 FORD RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-2934
Country : US
Telephone Number : 313-406-5279
Fax Number : 313-406-5377
Authorized Official
Title or Position : DIRECTOR OF PHARMACY
Name : DAVID VALENTINE
Credential : PHARM D
Telephone Number : 313-406-5279
Provider Enumeration Date : 12/07/2009
Last Update Date : 11/29/2016

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