Individual
ZACHARY RYAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
535 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 329-0930
Mailing address
535 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 329-0930
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12861
NE
183500000X
Pharmacist
Primary
20506
IA
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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