Healthcare Provider Details

I. General information

NPI: 1396831194
Provider Name (Legal Business Name): DAVID DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 04/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 OLD SILVER HILL RD
DISTRICT HEIGHTS MD
20747-2111
US

IV. Provider business mailing address

6110 OLD SILVER HILL RD
DISTRICT HEIGHTS MD
20747-2111
US

V. Phone/Fax

Practice location:
  • Phone: 301-735-8700
  • Fax: 301-735-6003
Mailing address:
  • Phone: 301-735-8700
  • Fax: 301-735-8700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberR2659
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberC16012
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberR2659
License Number StateMD

VIII. Authorized Official

Name: MR. MICHAEL DAVID ACKARD
Title or Position: VP/OWNER
Credential:
Phone: 301-735-8700