Individual
ANDREA WAIR DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6133
(301) 702-6118
Mailing address
6104 OLD BRANCH AVE, TEMPLE HILLS, MD 20748-2518
(301) 702-6133
(301) 702-6118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13315
MD
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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