Individual
STEVEN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S MAIN ST, FORT SCOTT, KS 66701-8724
(620) 223-5051
Mailing address
1298 165TH ST, FORT SCOTT, KS 66701-8364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-10254
KS
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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