Mary Voncille Davis

NPI #1104110295 in Midwest City, Oklahoma

Provider Information

NPI Number
1104110295
Entity Type
Individual
Name
Mary Voncille Davis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Jun 6, 2011
Last Updated
Jun 6, 2011

Practice Location

Address
7305 SE 29TH ST
Address 2
T-2061
ZIP Code
73110-6122
Phone
(405) 455-4001

Specialties & Taxonomy Codes

Specialty
Pharmacist

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