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NPI Code Detail

MEDICARE: DR. BOBBIE E DAVIDSON PHARMD

MEDICARE: DR. BOBBIE E DAVIDSON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPD08315AR

General Provider Information

NPI Number : 1306323431
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BOBBIE E DAVIDSON PHARMD
Provider Business Mailing Address
First Line : 20208 DWIGHT LITTLE RD
Second Line :
City : ROLAND
State : AR
Zip : 72135-9430
Country : US
Telephone Number : 501-680-3025
Fax Number :
Provider Business Practice Location Address
First Line : 10300 N RODNEY PARHAM RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-4845
Country : US
Telephone Number : 501-221-8301
Fax Number : 501-221-8303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2018
Last Update Date : 06/04/2026

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