Individual
JUSTIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4617 E BELL RD, PHOENIX, AZ 85032-2305
(602) 482-5511
Mailing address
7234 W VISTA AVE, GLENDALE, AZ 85303-1637
(928) 848-9280
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
T038357
AZ
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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