Individual
GREGORY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5611 OUTBACK CT, BOULDER, CO 80301-3557
(303) 921-7657
Mailing address
5611 OUTBACK CT, BOULDER, CO 80301-3557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14490
CO
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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