Individual
ALEXIS SUMMERVILLE MCDAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7950 CRAFT GOODMAN FRONTAGE RD, OLIVE BRANCH, MS 38654
(662) 890-5868
Mailing address
7950 CRAFT GOODMAN FRONTAGE RD, OLIVE BRANCH, MS 38654
(662) 890-5868
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
32277
TN
183500000X
Pharmacist
Primary
R-010650
MS
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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