<Unavail>
LBN: Ma Davis Enterprises, Llc
<Unavail> is an health care organization with primary practice located at 625 W Main St. Suite A, Newbern TN 38059. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Ma Davis Enterprises, Llc can be contacted via phone (731) 627-9573, or through Davis, Mark Anthony via phone (731) 589-0206.
Contact Information
Primary practice address
625 W Main St. Suite A
Newbern TN 38059
Phone: (731) 627-9573
Fax: (731) 627-3051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Tennessee | |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 439 | Tennessee |
Profile Details
| NPI number | 1760428254 |
|---|---|
| LBN Legal business name | Ma Davis Enterprises, Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Davis, Mark Anthony PHARM D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Mar 23rd, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760428254 | NPPES |
| Tennessee | MEDICAID | 1454269 | |
| Tennessee | Other | 2089282 |
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