Individual
DR. TARA AILEEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4890 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4566
(318) 747-4330
(318) 746-2773
Mailing address
4890 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4566
(318) 747-4330
(318) 746-2773
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18544
LA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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