Davidson Pharmacy, LLC

NPI #1811468952 in Booneville, Mississippi

Provider Information

NPI Number: 1811468952
Entity Type: Organization
Organization Name: Davidson Pharmacy, LLC
Primary Specialty: Pharmacy
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 203A N 2ND ST
City: Booneville
State: Mississippi
ZIP Code: 38829-2701
Phone: (662) 728-4401

Authorized Official

Name: MRS. LAUREN DAVIDSON NULL, RN BSN
Title: PHARMACY MANAGER
Phone: (662) 728-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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