Individual
JAMIE LYN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOCTOR OF PHARMACY
Contact information
Practice address
3200 LUSK DR, NEOSHO, MO 64850-2028
(417) 451-1177
(417) 451-9620
Mailing address
3200 LUSK DR, NEOSHO, MO 64850-2028
(417) 451-1177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2014033314
MO
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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