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General NPI Number Information
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NPI Number | 1265531164
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Entity Type | Organization
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Legal Business Name | DAVISON DRUG & STATIONERY
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 640 MARKET STREET
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City | COLUSA
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State | CA
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Zip | 95932-2441
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Country | US
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Telephone | 530-458-2188
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Fax | 530-458-7780
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Provider Business Mailing Address
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Address Line | 640 MARKET STREET
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City | COLUSA
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State | CA
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Zip | 95932-2441
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Country | US
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Telephone | 530-458-2188
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Fax | 530-458-7780
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Authorized Official
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Title or Position | OWNER RPH
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Name | MR. FRANKLIN PETESCH DAVISON
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Credential | PHARM D RPH
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Telephone | 530-458-2188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY47044
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License Number State | CA
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