Individual
MR. DENNIS WILSON DAVIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
2018 15TH ST NW, ROCHESTER, MN 55901-0716
(507) 281-1676
(507) 281-2953
Mailing address
4878 170TH LN NW, ANDOVER, MN 55304-1717
(763) 807-3606
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124957
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124957
PHARMACIST LICESNE
MN
Enumeration date
07/22/2020
Last updated
10/30/2020
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