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CLIFFORD MARSH DAVIS PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1720138068

Individual Registrant:
 CLIFFORD MARSH DAVIS PHARM D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
HWY 62-412 MIDWAY PLAZA HARDY, AR 72542 US
Tel: 970-856-3080  Fax: 870-856-4165

Contact information for business:
PO BOX 428  ASH FLAT, AR 72513-0428 US
Tel: --  Fax: --

Registration Information:
NPI: 1720138068
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARAR8368

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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