Davy Crockett Drug, Inc.

NPI 1407944382

Information of Davy Crockett Drug, Inc.

The NPI 1407944382 is an Organization type. NPI No 1407944382 belongs to Davy Crockett Drug, Inc.. Davy Crockett Drug, Inc. specializes in Pharmacy. is practising at 107 S 4th St, Crockett, Texas 75835. You can also contact him via phone number (936) 544-2275.

Practice address located

  • 107 S 4th St
  • Crockett, Texas 75835
  • (936) 544-2275
  • (936) 544-2275

Mailling address located

  • 107 S 4th St
  • Crockett, Texas 75835
  • (936) 544-2275
  • (936) 544-3103
Davy Crockett Drug, Inc. is PECOS enrolled.
NPI No 1407944382
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No333600000XPharmacyn/an/a
Yes3336C0003XCommunity/Retail Pharmacy04623Texas
No3336L0003XLong Term Care Pharmacy4623Texas
Identifier for this provider
StateIdentifierTypeIssuer
TX0820160001Medicare NSCn/a
TX141598Medicaidn/a
n/a4516893OtherOTHER ID NUMBER
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