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Individual

DR. NEELY R DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2120 THAIN GRADE, LEWISTON, ID 83501-4105
(208) 746-1044
(208) 746-0744
Mailing address
2120 THAIN GRADE, LEWISTON, ID 83501-4105
(208) 746-1044
(208) 746-0744

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
12555
SC
183500000X
Pharmacist
7775
MT
183500000X
Pharmacist
Primary
P6634
ID

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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