Individual
CODY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2670 NEW HOLT RD STE D, PADUCAH, KY 42001-7506
(270) 444-7070
Mailing address
150 MAGALYN DR, PADUCAH, KY 42003-8724
(618) 645-3484
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020697
KY
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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