Individual
GLENN R DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
632 SLATE AVE, OWINGSVILLE, KY 40360-2206
(606) 674-6386
(606) 674-3096
Mailing address
169 MARIELLA DR, OWINGSVILLE, KY 40360-2213
(606) 674-6723
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8188
KY
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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