Individual
LAUREN ELIZABETH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
N. HIGHWAY 491, SHIPROCK, NM 87420-0160
(505) 368-7265
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-7265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00007933
NM
183500000X
Pharmacist
RP446830
PA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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