Individual
JENNIFER SHAINA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TOWNE CENTER DR, LEXINGTON, KY 40511-2027
(859) 288-2172
Mailing address
110 TOWNE CENTER DR, LEXINGTON, KY 40511-2027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
021004
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
361924025
361924025
KY
Enumeration date
03/31/2020
Last updated
11/27/2023
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