Latisha Nadine Davis

NPI #1093316317 in Jackson, Kentucky

Provider Information

NPI Number: 1093316317
Entity Type: Individual
Name: Latisha Nadine Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2020
Last Updated: Nov 3, 2020

Practice Location

Address: 1589 KY HWY 15 SOUTH
City: Jackson
State: Kentucky
ZIP Code: 41339
Phone: (606) 666-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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