Individual
MICHAEL L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 213-9950
(801) 213-9965
Mailing address
1709 KERRYBROOK DR, KAYSVILLE, UT 84037-9601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4798772-1701
UT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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