Individual
COURTNEY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2110 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6506
(817) 421-7487
Mailing address
1440 EAGLETON LN, NORTHLAKE, TX 76226-1804
(575) 496-0350
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
56305
TX
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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