MEDICARE: DAVID DRUGS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier	C16012	MD
2	332B00000X	Durable Medical Equipment & Medical Supplies	R2659	MD

General Provider Information

NPI Number	:	1134367741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID DRUGS INC.

Provider Business Mailing Address
First Line	:	6106 OLD SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2111
Country	:	US
Telephone Number	:	301-735-2377
Fax Number	:	301-735-2988

Provider Business Practice Location Address
First Line	:	6106 OLD SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2111
Country	:	US
Telephone Number	:	301-735-2377
Fax Number	:	301-735-2988

Authorized Official
Title or Position	:	VP/OWNER
Name	:	MR. MICHAEL D ACKARD
Credential	:
Telephone Number	:	301-735-2377

Provider Enumeration Date	:	02/04/2009
Last Update Date	:	02/04/2009

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