Paul Dwight Davenport, RPH

NPI #1407905102 in Dyess Afb, Texas

Provider Information

NPI Number
1407905102
Entity Type
Individual
Name
Paul Dwight Davenport, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Jan 10, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
697 HOSPITAL RD
Address 2
7 MDSS SGSAP
State
Texas
ZIP Code
79607
Phone
(325) 696-6465

Specialties & Taxonomy Codes

Specialty
Pharmacist

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