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Individual

DR. GEORGE ALAN DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
800 ROSE ST, RM H110, LEXINGTON, KY 40536-0293
(859) 323-1789
(859) 323-2049
Mailing address
800 ROSE ST, RM H110, LEXINGTON, KY 40536-0293
(859) 323-1789
(859) 323-2049

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010717
KY
1835P1200X
Pharmacotherapy Pharmacist
307008443
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
99-9999999
UK PRACTICE LOCATION TAX ID
Enumeration date
05/05/2014
Last updated
05/05/2014
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