Individual
JENNIFER LILES DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
31946 1ST AVE NW, CARBON HILL, AL 35549-5221
(205) 924-9616
Mailing address
7399 HIGHWAY 78, CORDOVA, AL 35550-4011
(205) 924-9616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13175
AL
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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