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Organization
DAVIS BROTHERS PHARMACY INC
Active
Organization
DAVIS BROTHERS PHARMACY INC
Active
Other names
Davis Brothers Pharmacy - Chester
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DAVIS (PRESIDENT/PHARMACIST)
(304) 670-8107
Entity
Organization
Contact information
Practice address
559 CAROLINA AVE STE B, CHESTER, WV 26034-1364
(304) 387-1741
(304) 387-1741
Mailing address
559 CAROLINA AVE STE B, CHESTER, WV 26034-1364
(304) 387-1741
(304) 387-1741
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
SP0552508
WV
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083156863
—
WV
01
—
2166220
PK
—
Enumeration date
11/10/2016
Last updated
12/22/2016
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