Healthcare Provider Details
I. General information
NPI: 1134367741
Provider Name (Legal Business Name): DAVID DRUGS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2009
Last Update Date: 02/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6106 OLD SILVER HILL RD
DISTRICT HEIGHTS MD
20747-2111
US
IV. Provider business mailing address
6106 OLD SILVER HILL RD
DISTRICT HEIGHTS MD
20747-2111
US
V. Phone/Fax
- Phone: 301-735-2377
- Fax: 301-735-2988
- Phone: 301-735-2377
- Fax: 301-735-2988
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | R2659 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | C16012 |
| License Number State | MD |
VIII. Authorized Official
Name: MR.
MICHAEL
D
ACKARD
Title or Position: VP/OWNER
Credential:
Phone: 301-735-2377