Individual
SCOTT M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2788 RIVER RD, EUGENE, OR 97404-2048
(541) 607-1541
Mailing address
2788 RIVER RD, EUGENE, OR 97404-2048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011355
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011355
STATE PHARMACIST LICENSE
OR
Enumeration date
02/11/2012
Last updated
11/18/2021
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