Individual
MRS. ELLEN KAY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1260 FRONT ST, SLIDELL, LA 70458-2054
(985) 641-5557
(985) 646-0646
Mailing address
61162 TIMBERBEND DR, LACOMBE, LA 70445-2950
(985) 882-7498
(985) 882-7498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13580
LA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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