Organization Name: | DAVIS DRUG STORE, INC. |
NPI Number: | 1548262439 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE M ORWICK (PRESIDENT OWNER PHARMACIST) |
Mailing Address: | 101 E Beaver St Corydon |
State: | IN US |
Postal Code: | 471121146 |
Phone Number: | 8127383203 |
Fax Number: | 8127388203 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 60005503 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |