Individual
DR. STEPHANIE MARIE DAVIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 MONROE ST, ANOKA, MN 55303-2405
(763) 421-5540
(763) 421-9229
Mailing address
13983 HOLLYHOCK LN, ROGERS, MN 55374-8878
(763) 428-0270
(763) 421-9229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116825-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116825-5
BOARD OF PHARMACY
MN
Enumeration date
07/08/2005
Last updated
07/08/2007
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