Individual
TAMMY WALKER DAVISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
261 BERKMORE PL, SUITE 1C, BERKELEY SPRINGS, WV 25411-6247
(304) 258-3800
(304) 258-2670
Mailing address
5600 COLD RUN VALLEY RD, BERKELEY SPRINGS, WV 25411-4952
(304) 258-9021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4937
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12015
PHARMACIST LICENSE NUMBER
MD
01
—
4937
PHARMACIST LICENSE NUMBER
WV
Enumeration date
01/02/2006
Last updated
07/08/2007
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