Tom'S Pharmacy Llc in Portland - Pharmacy
Tom'S Pharmacy Llc - NPI 1174612618
Tom'S Pharmacy Llc is a Pharmacy in Portland, Michigan. Tom'S Pharmacy Llc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Tom'S Pharmacy Llc is 1174612618. The last update date is 2018-12-14.
Tom'S Pharmacy Llc's current location address is 1462 E Grand River Ave, Portland, Michigan. You can contact this provider via phone number 5176474861 and fax number 5176470078. The mailing address for Tom'S Pharmacy Llc is 1462 E Grand River Ave, Portland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tom'S Pharmacy Llc |
|---|---|
| Address | 1462 E Grand River Ave, Portland, Michigan |
| Phone Number | 5176474861 |
| Fax Number | 5176470078 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Antaya Steve |
| Telephone Number | 5176474861 |
NPI Number Detail
| NPI Number | 1174612618 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2018-12-14 |
Provider Mailing Address Detail
| Address | 1462 E Grand River Ave |
|---|---|
| City | Portland |
| State | Michigan (MI) |
| Post Code | 488751632 |
| Phone Number | 5176474861 |
| Fax Number | 5176470078 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 5301007164 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4196990 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tom'S Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Tom'S Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1174612618 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tom'S Pharmacy Llc?
The Tom'S Pharmacy Llc is physically situated at 1462 E Grand River Ave, in the city of Portland, state of MI, with the postal code 488751632.
What is Tom'S Pharmacy Llc's area of expertise and its corresponding taxonomy classification?
The Tom'S Pharmacy Llc's field of specialization is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tom'S Pharmacy Llc receive the assignment of its 1174612618 from the Centers for Medicare & Medicaid Services?
The Tom'S Pharmacy Llc was issued its 1174612618 by the Centers for Medicare & Medicaid Services on 2006-10-12.
As of what date was the information pertaining to Tom'S Pharmacy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tom'S Pharmacy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-12-14.