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Organization
DAVIES PHARMACY, INC
Active
Organization
DAVIES PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN LAWRENCE FETTMAN RPH (OWNER PHARMACIST)
(330) 454-5151
Entity
Organization
Contact information
Practice address
2915 TUSCARAWAS ST W, CANTON, OH 44708-4607
(330) 454-5151
(330) 454-5266
Mailing address
2915 TUSCARAWAS ST W, CANTON, OH 44708-4607
(330) 454-5151
(330) 454-5266
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
—
OH
3336C0004X
Compounding Pharmacy
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010335
—
OH
Enumeration date
06/08/2005
Last updated
07/24/2007
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