Individual
RANDY WARD DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHT
Contact information
Practice address
61 RIVER RD, MCINTOSH, AL 36553-0247
(251) 944-2563
(251) 944-3080
Mailing address
P O BOX 185, MCINTOSH, AL 36553-0185
(251) 944-0143
(251) 944-8226
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T01889
AL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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