Individual
DR. JACOB DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
2107 S 11TH ST, NILES, MI 49120-4060
(269) 683-5573
Mailing address
2107 S 11TH ST, NILES, MI 49120-4060
(269) 683-5573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412750
MI
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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