Organization
G L DAVIS DRUG INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE DAVIS R.PH (OWNER)
(740) 732-4503
Entity
Organization
Contact information
Practice address
109 WEST ST, CALDWELL, OH 43724-1359
(740) 732-4503
Mailing address
109 WEST ST, CALDWELL, OH 43724-1359
(740) 732-4503
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
02-0693900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872882
—
OH
Enumeration date
09/21/2006
Last updated
04/08/2014
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