Organization
DAVIS DRUG STORE INC
Active
Parent organization
DAVIS DRUG STORE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVIS DRUG STORE INC
Authorized official
ANDREA DAVIS (OWNER)
(870) 856-3080
Entity
Organization
Contact information
Practice address
1645 HWY 62 167, HARDY, AR 72542
(870) 856-3080
(870) 856-4165
Mailing address
PO BOX 177, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149049716
—
AR
Enumeration date
10/12/2006
Last updated
10/15/2010
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