Individual
MR. EDWARD C DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
940 S FRONTAGE RD STE 1900, WOODRIDGE, IL 60517-5033
(630) 985-7189
(630) 985-7438
Mailing address
4354 186TH ST, COUNTRY CLUB HILLS, IL 60478-4593
(708) 798-3456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051031565
IL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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