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Individual

MS. DEBORAH ANN DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
4710 S WESTERN AVE, PHARMACY, CHICAGO, IL 60609-4060
(773) 579-0366
(773) 579-0427
Mailing address
9831 S PROSPECT AVE, CHICAGO, IL 60643-1225
(773) 238-4716
(773) 238-4716

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51035595
IL

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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