Individual
BO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
403 S COLORADO ST, LOCKHART, TX 78644-2702
(512) 398-6797
Mailing address
403 S COLORADO ST, LOCKHART, TX 78644-2702
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
53069
TX
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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