Individual
JEFF CORY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2378 W 24TH ST, YUMA, AZ 85364-6124
(928) 343-2311
(928) 343-2325
Mailing address
2378 W 24TH ST, YUMA, AZ 85364-6124
(928) 343-2311
(928) 343-2325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S07895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2207
IMMUNIZER LICENSE
AZ
Enumeration date
10/18/2011
Last updated
10/19/2011
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