Individual
LYDIA SUSANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., R.PH.
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7410
(503) 601-7316
Mailing address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7410
(503) 601-7316
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7524
OR
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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