Organization
DAVIS PHARMACY INC
Active
Other names
DAVIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LAVIN (PRESIDENT)
(605) 624-4444
Entity
Organization
Contact information
Practice address
5 W CHERRY ST, VERMILLION, SD 57069-1107
(605) 624-4444
(605) 624-5975
Mailing address
5 W CHERRY ST, VERMILLION, SD 57069-1107
(605) 624-4444
(605) 624-5975
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
100-0455
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2093875
PK
—
05
—
8501470
—
SD
Enumeration date
02/08/2006
Last updated
05/27/2016
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