Individual
ALISON GRAY DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALISON DAVENPORT
Contact information
Practice address
4502 SHIPYARD BLVD, WILMINGTON, NC 28403-6163
(910) 799-3162
(910) 452-1920
Mailing address
5013 MONCK CT, WILMINGTON, NC 28409-3173
(910) 395-2201
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7344
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655952
—
NC
Enumeration date
08/16/2009
Last updated
08/16/2009
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