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
—
—
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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