# DAVIES PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144224049
- **Authorized official:** MR. STEVEN LAWRENCE FETTMAN RPH (OWNER PHARMACIST)
- **Authorized official phone:** (330) 454-5151

## Contact information

- **Practice address:** 2915 TUSCARAWAS ST W, CANTON, OH 44708-4607
- **Practice address phone:** (330) 454-5151
- **Practice address fax:** (330) 454-5266
- **Mailing address:** 2915 TUSCARAWAS ST W, CANTON, OH 44708-4607
- **Mailing address phone:** (330) 454-5151
- **Mailing address fax:** (330) 454-5266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | OH | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/08/2005
- **Last updated:** 07/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2010335 | — | OH |