Individual
DAVID DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N BROAD ST, GRIFFITH, IN 46319-2222
(219) 924-9540
(219) 922-9535
Mailing address
303 N BROAD ST, GRIFFITH, IN 46319-2222
(219) 924-9540
(219) 922-9535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054017700
IL
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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