Individual
JENNEFER L DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH, PHARMD
Contact information
Practice address
3100 11TH ST, ROCK ISLAND, IL 61201-6706
(309) 786-4312
(309) 786-1619
Mailing address
3100 11TH ST, ROCK ISLAND, IL 61201-6706
(309) 786-4312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299244
IL
183500000X
Pharmacist
22569
IA
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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