Crystal Falls Pharmacy

LBN: Tds Inc
Crystal Falls Pharmacy is an health care organization with primary practice located at 1363 Us Highway 2 , Crystal Falls MI 49920-1089. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tds Inc can be contacted via phone (906) 875-3601, or through Roell, Stephen via phone (906) 774-1044.

Contact Information

Primary practice address
1363 Us Highway 2 Crystal Falls MI 49920-1089
Phone: (906) 875-3601
Fax: (906) 875-3604
Website:
Map and Directions
Authorized official contact:
Name: Roell, Stephen RPH
Phone: (906) 774-1044

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 5301008670 Michigan

Profile Details

NPI number 1851590210
LBN Legal business name Tds Inc
DBA Doing business as Crystal Falls Pharmacy
Authorized official Roell, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Apr 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851590210 NPPES
Wisconsin MEDICAID 36222700
Wisconsin MEDICAID 2370132
Wisconsin Other 2042750

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