Individual
LYNN MARIE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
50 N MEDICAL DR # A050, DEPARTMENT OF PHARMACY, SALT LAKE CITY, UT 84132-0001
(801) 581-2167
Mailing address
3125 KENNEDY DR APT 904, SALT LAKE CITY, UT 84108-2117
(801) 865-6112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4742181-1701
UT
183500000X
Pharmacist
PS34873
FL
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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