Tom's Pharmacy Llc
Pharmacy
1462 E Grand River Ave, Portland
Michigan, 48875
517-647-4861 517-647-0078
Tom's Pharmacy Llc is a Pharmacy in Portland, Michigan. It is located at 1462 E Grand River Ave, Portland and it's customer support contact number is 517-647-4861. The authorized person of Tom's Pharmacy Llc is Steve Antaya who is Vice President of the pharmacy and his contact number is 517-647-4861. Active license number of Tom's Pharmacy Llc is 5301007164 for Pharmacy in Michigan.
Tom's Pharmacy Llc is 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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Tom's Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tom's Pharmacy Llc |
| Type: | Pharmacy |
| Location: | 1462 E Grand River Ave, Portland,
Michigan, 48875 |
| Phone: | 517-647-4861 |
| Fax: | 517-647-0078 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Steve Antaya |
| Position: | Vice President |
| Contact Number: | 517-647-4861 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1174612618 |
| NPI Enumeration Date: | 12 Oct, 2006 |
| NPI Last Update On: | 14 Dec, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tom's Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 5301007164 | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4196990 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1462 E Grand River Ave,
Portland, Michigan |
| Zip: | 48875-1632 |
| Phone Number: | 517-647-4861 |
| Fax Number: | 517-647-0078 |
Patients can reach Tom's Pharmacy Llc at
1462 E Grand River Ave, Portland, Michigan or can
call on customer care at 517-647-4861.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.