Individual
MS. LAURA LYNNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
133 E RACE ST, KINGSTON, TN 37763-2824
(865) 376-6452
Mailing address
660 PEACHTREE LN, KINGSTON, TN 37763-2112
(865) 376-5694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7947
TN
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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