Organization
DAVISON DRUG STORE INC
Active
Other names
MEDICAP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ARNES RPH (OWNER PHARMACIST)
(810) 658-2646
Entity
Organization
Contact information
Practice address
9070 DAVISON RD, DAVISON, MI 48423-1037
(810) 658-2646
(810) 653-7819
Mailing address
9070 DAVISON RD, DAVISON, MI 48423-1037
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
5301007144
MI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2360597
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
4184720
—
MI
05
—
4184739
—
MI
Enumeration date
08/31/2006
Last updated
03/07/2023
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