Organization
DAVIS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA D DAVIS (PRESIDENT)
(870) 856-3080
Entity
Organization
Contact information
Practice address
1645 HIGHWAY 62 412, HIGHLAND, AR 72542-9540
(870) 856-3080
(870) 856-4165
Mailing address
PO BOX 428, ASH FLAT, AR 72513-0428
(870) 856-3080
(870) 856-4165
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/21/2011
Last updated
03/16/2011
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