Individual
BRIAN CLYDE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6 THOMPSON RD, EAST WINDSOR, CT 06088-9626
(866) 809-4455
Mailing address
626 GOOSE LN, COVENTRY, CT 06238-1219
(860) 742-5766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0005367
CT
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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