Individual
MR. STEPHEN LLOYD DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-1911
(608) 301-1871
Mailing address
4320 GOLDFINCH CIR, MIDDLETON, WI 53562-5210
(608) 836-3776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10164-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10164-040
PHARMACIST LICENSE
WI
Enumeration date
03/15/2007
Last updated
07/08/2007
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