Individual
RONNIE LOGAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
201 N SCRAPER ST, VINITA, OK 74301-3209
(918) 256-2541
(918) 256-5295
Mailing address
201 N SCRAPER ST, VINITA, OK 74301-3209
(918) 256-2541
(918) 256-5295
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8508
OK
Other
Enumeration date
11/12/2006
Last updated
07/08/2007
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