Individual
BRIAN D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
600 WINDING OAKS PL, BALLWIN, MO 63021-7379
(314) 210-7121
Mailing address
600 WINDING OAKS PL, BALLWIN, MO 63021-7379
(314) 210-7121
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
2005004193
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005004193
MO BOARD OF PHARMACY
MO
Enumeration date
08/03/2018
Last updated
08/03/2018
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