Organization
DAVIS DRUGS, LLC
Active
Other names
Davis Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVIS (OWNER)
(765) 762-3287
Entity
Organization
Contact information
Practice address
300 S PERRY ST, ATTICA, IN 47918-1442
(765) 762-3287
(765) 762-0021
Mailing address
300 S PERRY ST, ATTICA, IN 47918-1442
(765) 762-3287
(765) 762-0021
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
60006316A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201111490A
—
IN
01
—
2160332
PK
—
Enumeration date
05/27/2016
Last updated
05/27/2016
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