Organization
W, DAVIS RX LLC
Active
Other names
WEST DAVIS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE SHIMFARR (CORPORATE OFFICER)
(936) 703-5232
Entity
Organization
Contact information
Practice address
3421 W DAVIS ST STE 200, CONROE, TX 77304-1846
(936) 703-5232
(936) 703-5840
Mailing address
3421 W DAVIS ST STE 200, CONROE, TX 77304-1846
(936) 703-5232
(936) 703-5840
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/20/2019
Last updated
11/20/2019
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