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NPI Code Detail

MEDICARE: KIA MARIE DAVIS PHARMD

MEDICARE:   KIA MARIE DAVIS  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
1183500000XPharmacist0202218416VA

General Provider Information

NPI Number : 1679174395
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIA MARIE DAVIS PHARMD
Provider Business Mailing Address
First Line : 5700 HOPKINS RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5700 HOPKINS RD
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6631
Country : US
Telephone Number : 804-253-0759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2020
Last Update Date : 11/09/2020

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Directions to “ KIA MARIE DAVIS PHARMD” Practice Location

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