Individual
LOGAN E DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1170 NE INDUSTRIAL PARK RD, MERIDIAN, MS 39301-1100
(601) 482-7420
Mailing address
1902 45TH CT, MERIDIAN, MS 39305
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010379
MS
Other
Enumeration date
07/15/2008
Last updated
01/17/2023
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