Individual
CISLEY D DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
806 MCARTHUR ST, MANCHESTER, TN 37355-2324
(931) 728-0874
(931) 728-7318
Mailing address
806 MCARTHUR ST, MANCHESTER, TN 37355-2324
(931) 728-0874
(931) 728-7318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35741
TN
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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