Individual
DANIELLA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
10855 S US HIGHWAY 1, WALMART PHARMACY, PORT ST LUCIE, FL 34952-6410
(772) 335-1557
(772) 335-1559
Mailing address
10855 S US HIGHWAY 1, WALMART PHARMACY, PORT ST LUCIE, FL 34952-6410
(772) 335-1557
(772) 335-1559
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH25832
MA
183500000X
Pharmacist
PS41053
FL
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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