Individual
ANGELA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1727 BLACK RIVER BLVD, ROME, NY 13440
(315) 336-8890
Mailing address
8225 BIELBY RD, APARTMENT 12, ROME, NY 13440-1935
(315) 269-3191
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054302
NY
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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