Individual
AUDREY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1405 N HIGHLAND AVE, JACKSON, TN 38301-3403
(731) 935-8303
Mailing address
2177 RIVERSIDE DR, JACKSON, TN 38301-9186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42407
TN
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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