Individual
MARTIN DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N 12TH ST, MURRAY, KY 42071-1912
(270) 753-2044
Mailing address
358 WATERWAY TRL, NEW CONCORD, KY 42076-4826
(270) 227-2911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010140
KY
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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