Individual
SUSANNE T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
213 DEPOT ST, DELHI, LA 71232-2819
(318) 878-2261
(318) 878-9870
Mailing address
404 NORTH ST, OAK GROVE, LA 71263-7766
(318) 418-0769
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15204
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275271
—
LA
01
—
1911090
NABP
—
Enumeration date
10/25/2005
Last updated
10/31/2023
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