# DAVIS DRUGS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Davis Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528416807
- **Authorized official:** LESLIE DAVIS (OWNER)
- **Authorized official phone:** (765) 762-3287

## Contact information

- **Practice address:** 300 S PERRY ST, ATTICA, IN 47918-1442
- **Practice address phone:** (765) 762-3287
- **Practice address fax:** (765) 762-0021
- **Mailing address:** 300 S PERRY ST, ATTICA, IN 47918-1442
- **Mailing address phone:** (765) 762-3287
- **Mailing address fax:** (765) 762-0021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 60006316A | IN | Yes |

## Other

- **Enumeration date:** 05/27/2016
- **Last updated:** 05/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201111490A | — | IN |
| 01 | — | 2160332 | PK | — |