Individual
BRIAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1629 RESERVOIR AVE, WILLOW GROVE, PA 19090-4434
(215) 830-8747
(215) 830-8747
Mailing address
1629 RESERVOIR AVE, WILLOW GROVE, PA 19090-4434
(215) 830-8747
(215) 830-8747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP028418L
PA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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