Individual
MR. GARY LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
109 WEST STREET, CALDWELL, OH 43724-1359
(740) 732-4503
(740) 732-2272
Mailing address
109 WEST STREET, CALDWELL, OH 43724-1359
(740) 732-4503
(740) 732-2272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03216592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0872882
—
OH
Enumeration date
09/13/2006
Last updated
07/08/2007
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