Individual
JORDAN LEE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7670 MARTINSBURG PIKE, SUITE 2, SHEPHERDSTOWN, WV 25443-3698
(304) 876-9966
(304) 876-6655
Mailing address
7670 MARTINSBURG PIKE, SUITE 2, SHEPHERDSTOWN, WV 25443-3698
(304) 876-9966
(304) 876-6655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
016157
KY
183500000X
Pharmacist
0202211171
VA
183500000X
Pharmacist
R2365
NH
183500000X
Pharmacist
Primary
RP0009421
WV
183500000X
Pharmacist
RPH023703
GA
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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