MEDICARE: DAVID'S PHARMACY 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	3336C0003X	Community/Retail Pharmacy	PHRE004927	GA

General Provider Information

NPI Number	:	1366589285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID'S PHARMACY INC

Provider Business Mailing Address
First Line	:	1005 TALBOTTON RD
Second Line	:	STE A
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8757
Country	:	US
Telephone Number	:	706-327-8967
Fax Number	:	706-576-5176

Provider Business Practice Location Address
First Line	:	1005 TALBOTTON RD
Second Line	:	STE A
City	:	COLUMBUS
State	:	GA
Zip	:	31904-8757
Country	:	US
Telephone Number	:	706-327-8967
Fax Number	:	706-576-5176

Authorized Official
Title or Position	:	OWNER PHARMACIST
Name	:	MR. JOHN L COLVARD JR.
Credential	:	RPH
Telephone Number	:	706-327-8967

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	08/14/2024

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Directions to “DAVID'S PHARMACY INC ” Practice Location

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