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MARY KATHRYN DAVIS PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1336738251

Individual Registrant:
 MARY KATHRYN DAVIS PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
2200 MALCOLM AVE STE D  NEWPORT, AR 72112-3697 US
Tel: 870-523-9472  Fax: 870-523-9364

Contact information for business:
2200 MALCOLM AVE STE D  NEWPORT, AR 72112-3697 US
Tel: 870-523-9472  Fax: 870-523-9364

Registration Information:
NPI: 1336738251
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
ARPD08468

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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