Individual
JEANNETTE HARDY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2900 N MAIN ST, TARBORO, NC 27886-1921
(252) 823-5655
Mailing address
706 WELLINGTON LN, TARBORO, NC 27886-5651
(252) 641-0955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9402
NC
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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