Individual
EMMANUEL AUGUSTUS DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
333 E US ROUTE 6, MORRIS, IL 60450-8920
(815) 942-1662
Mailing address
1907 GLACIER RIDGE DR, PLAINFIELD, IL 60586-2828
(630) 479-2284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295492
IL
183500000X
Pharmacist
50489
TX
Other
Enumeration date
09/29/2011
Last updated
06/21/2012
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