Individual
DEMADRIA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD,RPH
Contact information
Practice address
350 BYRAM DR APT 502, BYRAM, MS 39272-3512
(601) 345-0880
Mailing address
350 BYRAM DR APT 502, BYRAM, MS 39272-3512
(601) 345-0880
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-100957
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YAX866114601M
BLUE CROSS BLUE SHIELD OF MS
MS
Enumeration date
01/20/2023
Last updated
01/20/2023
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