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Organization

MA DAVIS ENTERPRISES, LLC

Active
Parent organization
MA DAVIS ENTERPRISES, LLC
Other names
Newbern Drug Healthmart
Organization subpart
Yes

Provider details

NPI number
Legal business name
MA DAVIS ENTERPRISES, LLC
Authorized official
MR. MARK ANTHONY DAVIS PHARM D (OWNER)
(731) 589-0206
Entity
Organization

Contact information

Practice address
625 W MAIN ST., SUITE A., NEWBERN, TN 38059
(731) 627-9573
(731) 627-3051
Mailing address
625 W MAIN ST, SUITE A, NEWBERN, TN 38059
(731) 627-9573
(731) 627-3051

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
TN

Other

Enumeration date
06/12/2018
Last updated
06/12/2018
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