Individual
DUSTIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
161 BEECH STREET, HARRISON, MI 48625
(989) 539-4380
(989) 539-2878
Mailing address
PO BOX 376, HARRISON, MI 48625-0376
(989) 539-4380
(989) 539-2878
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303006672
MI
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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