Individual
CODY MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 W MAIN ST, LOUISVILLE, OH 44641-1335
(330) 875-1429
(330) 875-2753
Mailing address
646 CATHY ANN DR, BOARDMAN, OH 44512-6552
(330) 770-7943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03440953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03440953
OHIO STATE BOARD OF PHARMACY
OH
Enumeration date
08/04/2021
Last updated
08/04/2021
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