Mallory B Davis, DPH

NPI #1922139161 in Lawton, Oklahoma

Provider Information

NPI Number: 1922139161
Entity Type: Individual
Name: Mallory B Davis, DPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 901 SW GOODYEAR BLVD
City: Lawton
State: Oklahoma
ZIP Code: 73505-9755
Phone: (580) 531-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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