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NPI Code Detail

MEDICARE: HATTIE LOUISE DAVIS RPH

MEDICARE: HATTIE LOUISE DAVIS RPH
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 Specialist38534TX

General Provider Information

NPI Number : 1578197695
Entity Type Code : Individual
Provider Name (Legal Business Name) : HATTIE LOUISE DAVIS RPH
Provider Business Mailing Address
First Line : 3231 CUMBERLAND CT
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4860
Country : US
Telephone Number : 713-269-6679
Fax Number :
Provider Business Practice Location Address
First Line : 6200 HIGHWAY 6
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3803
Country : US
Telephone Number : 281-208-1741
Fax Number : 281-208-1744
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2020
Last Update Date : 02/27/2020

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Directions to “ HATTIE LOUISE DAVIS RPH” Practice Location

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