Provider Demographics
NPI:1053740977
Name:DAVIN GROUP INC
Entity type:Organization
Organization Name:DAVIN GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:NTUKOGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-240-2698
Mailing Address - Street 1:483 E ALMOND AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5747
Mailing Address - Country:US
Mailing Address - Phone:559-674-4511
Mailing Address - Fax:
Practice Address - Street 1:483 E ALMOND AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5747
Practice Address - Country:US
Practice Address - Phone:559-674-4511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy