Individual
MICHAEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 W BROAD ST, RICHMOND, VA 23230-2629
(804) 285-2975
Mailing address
2711 RAMS CT, NORTH CHESTERFIELD, VA 23236-1371
(804) 484-0325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208401
VA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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