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1174612618
TOM'S PHARMACY LLC
PORTLAND, MI
NPI
1174612618
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Entity Type
Organization
Authorized Contact
STEVE ANTAYA
Vice President
517-647-4861
Organization Subpart ?
No
Primary Taxonomy
333600000X Pharmacy
(Licence: MI 5301007164)
Enumeration Date
2006-10-12
Last Update Date
2018-12-14
Business Address
TOM'S PHARMACY LLC
1462 E GRAND RIVER AVE
PORTLAND, MI 48875
Phone number: 517-647-4861
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Mailing Address
TOM'S PHARMACY LLC
1462 E GRAND RIVER AVE
PORTLAND, MI 48875-1632
Phone number: 517-647-4861
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