Individual
MRS. KATHRYN LODEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
809 VARSITY DR, TUPELO, MS 38801-4615
(662) 841-1983
Mailing address
809 VARSITY DR, TUPELO, MS 38801-4615
(662) 841-1983
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06928
MS
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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