MR. Larry V Davison, R. PH.

NPI #1104034446 in Clinton, Missouri

Provider Information

NPI Number
1104034446
Entity Type
Individual
Name
MR. Larry V Davison, R. PH.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
R. PH.
Enumeration Date
May 18, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1600 N 2ND ST
ZIP Code
64735-1192
Phone
(660) 885-5511

Specialties & Taxonomy Codes

Specialty
Pharmacist

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