Organization
DAVIS DRUGS OF LONE OAK INC
Active
Other names
Davis Drugs Lone Oak
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL W. DAVIS R.PH. (PRES.)
(270) 554-5099
Entity
Organization
Contact information
Practice address
2855 LONE OAK RD, PADUCAH, KY 42003-8041
(270) 554-5099
(270) 554-5089
Mailing address
PO BOX 7707, PADUCAH, KY 42002-7707
(270) 554-5099
(270) 554-5089
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
6872
KY
333600000X
Pharmacy
6872
KY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1828017
NCPDP
KY
05
—
54005228
—
KY
05
—
90008533
—
KY
Enumeration date
02/04/2006
Last updated
08/29/2023
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