Davis Pharmacy

LBN: Davis Pharmacy Inc.
Davis Pharmacy is an health care organization with primary practice located at 415 Mott St , New Madrid MO 63869-1955. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Davis Pharmacy Inc. can be contacted via phone (573) 748-5205, or through Davis, Mary Kay via phone (573) 748-5205.

Contact Information

Primary practice address
415 Mott St New Madrid MO 63869-1955
Phone: (573) 748-5205
Fax: (573) 748-2838
Website:
Map and Directions
Authorized official contact:
Name: Davis, Mary Kay
Phone: (573) 748-5205

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 003656 Missouri

Profile Details

NPI number 1063526036
LBN Legal business name Davis Pharmacy Inc.
DBA Doing business as Davis Pharmacy
Authorized official Davis, Mary Kay
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Mar 29th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063526036 NPPES
Missouri MEDICAID 600133805
Missouri Other 2609040

Popular Providers