Individual
DR. JEREMY DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM-D
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 380-1380
Mailing address
34 PAMELA LN, SHERWOOD, AR 72120-2606
(501) 920-2867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD09350
AR
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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