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Organization
AL DAVIS PHARMACY INC
Active
Organization
AL DAVIS PHARMACY INC
Active
Other names
AL DAVIS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN DAVIS (PRES)
(985) 537-7050
Entity
Organization
Contact information
Practice address
4708 HIGHWAY 1, RACELAND, LA 70394-2635
(985) 537-7050
(985) 537-7060
Mailing address
4708 HIGHWAY 1, RACELAND, LA 70394-2635
(985) 537-7050
(985) 537-7060
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
4721IR
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1269140
—
LA
01
—
1930406
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/18/2006
Last updated
07/16/2010
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