Organization
DAVISON DRUG & STATIONERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANKLIN PETESCH DAVISON PHARM D RPH (OWNER RPH)
(530) 458-2188
Entity
Organization
Contact information
Practice address
640 MARKET STREET, COLUSA, CA 95932-2441
(530) 458-2188
(530) 458-7780
Mailing address
640 MARKET STREET, COLUSA, CA 95932-2441
(530) 458-2188
(530) 458-7780
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA470440
—
CA
Enumeration date
09/21/2006
Last updated
08/22/2020
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