G L DAVIS DRUG INC. NPI 1760580765

NPI Information

NPI: 1760580765
Provider Name: G L DAVIS DRUG INC.
Classification: Pharmacist - 1835P1200X
Entity Type: Organization

Specialization: Pharmacotherapy

CLIA Number: 36D2161960

Address:
109 WEST ST
CALDWELL, OH
ZIP 43724
Phone: (740) 732-4503
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G L DAVIS DRUG INC. is a pharmacotherapy pharmacist in Caldwell, OH. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. G L DAVIS DRUG INC. NPI is 1760580765. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

109 WEST ST
CALDWELL, OH
ZIP 43724-359
Phone: (740) 732-4503

The provider's authorized official is Gary Lee Davis .
The authorized official title is Owner and has the following contact phone number (740) 732-4503.

The CLIA number assigned to this NPI record is 36D2161960 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 4/8/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P1200X	Pharmacist	Pharmacotherapy	02-0693900	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0242860001	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	0872882	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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