Individual
DALTON DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
419 N 16TH AVE, LAUREL, MS 39440-3850
(601) 425-5808
Mailing address
419 N 16TH AVE, LAUREL, MS 39440-3850
(601) 425-5808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH035548
GA
183500000X
Pharmacist
Primary
T-102070
MS
Other
Enumeration date
09/25/2025
Last updated
10/10/2025
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