| Davy Crockett Drug, Inc. | |
|
107 S 4th St Crockett TX 75835-2024 | |
| (936) 544-2275 | |
| (936) 206-7696 |
| Full Name | Davy Crockett Drug, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 107 S 4th St, Crockett, Texas |
| Authorized Official Name and Position | James Jeffrey Martin (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9365442275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Davy Crockett Drug, Inc. 107 S 4th St Crockett TX 75835-2024 Ph: (936) 544-2275 | Davy Crockett Drug, Inc. 107 S 4th St Crockett TX 75835-2024 Ph: (936) 544-2275 |
| NPI Number | 1871264648 |
|---|---|
| Provider Enumeration Date | 09/22/2021 |
| Last Update Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871264648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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