Individual
LATOYA PATRICE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
220 VIRGINIA AVE, INDIANAPOLIS, IN 46204-3709
(229) 221-1140
Mailing address
228 AUGUSTA AVE, THOMASVILLE, GA 31792-7003
(229) 221-1140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
54197
TX
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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