Individual
DR. STACIE BROOKE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
123 S JACKSON ST, GROVE HILL, AL 36451-3007
(251) 275-3669
(251) 275-8190
Mailing address
PO BOX 790, GROVE HILL, AL 36451-0790
(251) 275-3669
(251) 275-8190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17836
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17836
STATE OF ALABAMA PHARMACY LICENSE
AL
Enumeration date
08/05/2016
Last updated
08/05/2016
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