Organization
G. L. DAVIS DRUG INC
Active
Parent organization
G. L. DAVIS DRUG INC
Other names
Davis Drug
Organization subpart
Yes
Provider details
NPI number
Legal business name
G. L. DAVIS DRUG INC
Authorized official
DAN SIDWELL RPH (PHARMACIS IN CHARGE)
(740) 305-5099
Entity
Organization
Contact information
Practice address
109 WEST ST, SUITE A, CALDWELL, OH 43724-1359
(740) 305-5099
(740) 305-5099
Mailing address
109 WEST ST, SUITE A, CALDWELL, OH 43724-1359
(740) 305-5099
(740) 305-5099
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
022242050
OH
3336C0004X
Compounding Pharmacy
022242050
OH
3336H0001X
Home Infusion Therapy Pharmacy
Primary
022242050
OH
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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