Individual
EMILY ANN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 N 8TH ST, VANDALIA, IL 62471-1028
(618) 283-0196
Mailing address
133 WOODLAND DR, SALEM, IL 62881-2636
(618) 731-3466
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051039940
IL
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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