Provider Demographics
NPI:1154506608
Name:DAVIS UNIT DOSE
Entity Type:Organization
Organization Name:DAVIS UNIT DOSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:LAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:605-624-4444
Mailing Address - Street 1:5 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:VERMILLION
Mailing Address - State:SD
Mailing Address - Zip Code:57069-1107
Mailing Address - Country:US
Mailing Address - Phone:605-624-4444
Mailing Address - Fax:605-624-5975
Practice Address - Street 1:5 W CHERRY ST
Practice Address - Street 2:
Practice Address - City:VERMILLION
Practice Address - State:SD
Practice Address - Zip Code:57069-1107
Practice Address - Country:US
Practice Address - Phone:605-624-4444
Practice Address - Fax:605-624-5975
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVIS PHARMACY LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD100-04553336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy