Individual
KAYLA LESLEY DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
698 FAIRVIEW RD, SIMPSONVILLE, SC 29680-6708
(864) 962-8991
Mailing address
102 DUNSBOROUGH DR, SIMPSONVILLE, SC 29680-7670
(864) 313-8197
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42080
SC
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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