Individual
MARTHA ELLEN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2812 E PARHAM RD, RICHMOND, VA 23228-2918
(804) 264-6148
Mailing address
2812 E PARHAM RD, RICHMOND, VA 23228-2918
(804) 264-6148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-28257
OH
Other
Enumeration date
09/06/2007
Last updated
09/12/2011
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