Individual
MRS. BOBBIE JO DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
246 E WABASH AVE, OSGOOD, IN 47037-1116
(812) 871-1075
Mailing address
246 E WABASH AVE, OSGOOD, IN 47037-1116
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
67027453A
IN
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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