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	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	R2659	MD
2	335E00000X	Prosthetic/Orthotic Supplier	C16012	MD
3	332B00000X	Durable Medical Equipment & Medical Supplies	R2659	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01092184	OTHER	AMERIGROUP COMMUNITY CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396831194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID DRUGS INC

Provider Business Mailing Address
First Line	:	6110 OLD SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2111
Country	:	US
Telephone Number	:	301-735-8700
Fax Number	:	301-735-8700

Provider Business Practice Location Address
First Line	:	6110 OLD SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-2111
Country	:	US
Telephone Number	:	301-735-8700
Fax Number	:	301-735-6003

Authorized Official
Title or Position	:	VP/OWNER
Name	:	MR. MICHAEL DAVID ACKARD
Credential	:
Telephone Number	:	301-735-8700

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	04/11/2014

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Directions to “DAVID DRUGS INC ” Practice Location

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