Organization
DAVIS PHARMACY INC
Active
Parent organization
DAVIS PHARMACY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVIS PHARMACY INC
Authorized official
MARY KAY DAVIS (OWNER)
(573) 748-5205
Entity
Organization
Contact information
Practice address
415 MOTT ST, NEW MADRID, MO 63869-1955
(573) 748-5205
(573) 748-2838
Mailing address
415 MOTT ST, NEW MADRID, MO 63869-1955
(573) 748-5205
(573) 748-2838
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
07/07/2010
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