Individual
DR. CRYSTAL MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
715 12TH AVE S, NAMPA, ID 83651-4254
(208) 466-3592
Mailing address
715 12TH AVE S, NAMPA, ID 83651-4254
(208) 466-3592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
5825725
UT
183500000X
Pharmacist
Primary
P6581
ID
Other
Enumeration date
06/05/2011
Last updated
07/10/2015
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