Individual
TREY AUSTIN DAVENHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 734-2133
Mailing address
2424 CRATER LAKE HWY, MEDFORD, OR 97504-4181
(541) 734-2133
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0017516
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0017516
OR
Other
Enumeration date
10/16/2019
Last updated
01/13/2020
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