Individual
JERRY CARL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
110 W 2ND ST, KENLY, NC 27542
(919) 284-2010
(919) 284-2231
Mailing address
1230 PINEY GROVE CHURCH RD, KENLY, NC 27542
(919) 284-3570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05124
NC
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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