Individual
DR. EDWIN CLYDE DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1303 W MAIN ST, LEBANON, TN 37087-3209
(615) 449-4330
Mailing address
1303 W MAIN ST, LEBANON, TN 37087-3209
(615) 449-4330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27071
TN
Other
Enumeration date
10/27/2011
Last updated
02/27/2014
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