Organization
HAYNES DAVIS INC
Active
Organization
HAYNES DAVIS INC
Active
Other names
SERVICE DRUG OF MIDLAND
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVIS RPH (PIC)
(432) 682-2519
Entity
Organization
Contact information
Practice address
708 W SCHARBAUER DR, MIDLAND, TX 79705-8925
(432) 682-2519
(432) 682-5857
Mailing address
PO BOX 51388, MIDLAND, TX 79710-1388
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
22694
TX
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4527101
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/13/2006
Last updated
07/06/2011
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