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Individual

HAROLD L. DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2501 N. PATTERSON ST., VALDOSTA, GA 31602
(229) 259-4562
Mailing address
3 RIDGEVIEW CIR, VALDOSTA, GA 31602-1286
(229) 242-7385

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS19681
FL
183500000X
Pharmacist
Primary
RPH013707
GA

Other

Enumeration date
03/27/2007
Last updated
07/08/2007
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