Individual
DEBORAH KAY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 COLUMBUS AVE, LEBANON, OH 45036-1402
(513) 934-1212
Mailing address
1807 WINDFLOWER CT, LEBANON, OH 45036-1965
(513) 422-0198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03120721
OH
183500000X
Pharmacist
17757
IA
Other
Enumeration date
11/13/2011
Last updated
11/13/2011
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