Individual
KEN SEARCY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1238A HIGHWAY 62 412, HIGHLAND, AR 72542-9468
(870) 955-1022
(870) 955-5052
Mailing address
1238A HIGHWAY 62 412, HIGHLAND, AR 72542-9468
(870) 955-1022
(870) 955-5052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07731
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236370407
—
AR
Enumeration date
01/03/2021
Last updated
01/03/2021
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