Organization
E DAVIDSON RX LLC
Active
Organization
E DAVIDSON RX LLC
Active
Parent organization
E DAVIDSON MANAGEMENT INC
Other names
Knight Drugs - E Davidson
Organization subpart
Yes
Provider details
NPI number
Legal business name
E DAVIDSON MANAGEMENT INC
Authorized official
CANDICE TOLF (3RD PARTY COORDINATOR)
(313) 751-7979
Entity
Organization
Contact information
Practice address
4420 E DAVISON ST, DETROIT, MI 48212-1744
(313) 334-6711
(313) 334-6710
Mailing address
6689 ORCHARD LAKE RD STE 168, WEST BLOOMFIELD, MI 48322-3404
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301010812
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FSRX1950290
FLEXSCRIPT
—
Enumeration date
11/02/2017
Last updated
09/20/2023
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