Individual
DEVAN LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1680
(801) 662-1688
Mailing address
469 W ASPEN HILLS BLVD, SARATOGA SPRINGS, UT 84045-4770
(801) 668-5864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7069517-1701
UT
Other
Enumeration date
05/26/2017
Last updated
10/13/2017
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