Organization
DAVIS DRUGS OF LONE OAK INC
Active
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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