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DAVIS DRUG STORE INC NPI 1871694513


NPI Information

NPI: 1871694513
Provider Name: DAVIS DRUG STORE INC

Doing Business As: PILLBOX PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 04D2157112

Address:
1243 HIGHWAY 62 412
HIGHLAND, AR
ZIP 72542
Phone: (870) 856-3080
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DAVIS DRUG STORE INC is a community/retail pharmacy pharmacy in Highland, AR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. DAVIS DRUG STORE INC NPI is 1871694513. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pillbox Pharmacy.

The provider's business location address is:

1243 HIGHWAY 62 412
HIGHLAND, AR
ZIP 72542-469
Phone: (870) 856-3080
Fax: (870) 856-4165

The provider's authorized official is Andrea D Taylor .
The authorized official title is Owner and has the following contact phone number (870) 856-3080.

The CLIA number assigned to this NPI record is 04D2157112 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/23/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacistAR20337ARKANSASNo
23336L0003XPharmacyLong Term Care PharmacyAR20337ARKANSASNo
33336C0003XPharmacyCommunity/Retail PharmacyAR20337ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1146773407MEDICAIDARKANSAS

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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