Individual
MR. KYLE G DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
250 E JEWETT BLVD, WHITE SALMON, WA 98672-3000
(360) 493-4842
(360) 213-2238
Mailing address
916 W EVERGREEN BLVD, VANCOUVER, WA 98660-3035
(360) 213-2236
(360) 213-2238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00022199
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH00022199
PHARMACIST LICENSE
WA
01
—
PH60009667
PHARMACIST PRECEPTOR LICENSE
WA
Enumeration date
03/27/2013
Last updated
03/27/2013
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