Individual
MOLLY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
195 RIVER RD, LISBON, CT 06351-3253
(860) 823-2961
Mailing address
195 RIVER RD, T2433, LISBON, CT 06351-3253
(860) 823-2961
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0011601
CT
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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