Individual
CRYSTAL DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 S HORNER BLVD, SANFORD, NC 27330-5817
(919) 776-3766
Mailing address
73 TAMBEN LN, SANFORD, NC 27330-7765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17265
NC
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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