Organization
DAVIDSON PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN DAVIDSON NULL RN BSN (PHARMACY MANAGER)
(662) 728-4401
Entity
Organization
Contact information
Practice address
203A N 2ND ST, BOONEVILLE, MS 38829-2701
(662) 728-4401
(662) 728-9659
Mailing address
203A N 2ND ST, BOONEVILLE, MS 38829-2701
(662) 728-4401
(662) 728-9659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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