Individual
MRS. EMILY MAUREEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5401 N MAIN ST, COWPENS, SC 29303
(864) 463-4986
Mailing address
1215 LAKE RD, CLOVER, SC 29710-8407
(803) 222-7431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
10426
NC
183500000X
Pharmacist
Primary
12828
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12828
STATE PHARMACY LICENSE
SC
Enumeration date
09/29/2010
Last updated
09/29/2010
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