Healthcare Provider Details

I. General information

NPI: 1306323431
Provider Name (Legal Business Name): BOBBIE E DAVIDSON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BOBBIE E HILL PHARMD

II. Dates (important events)

Enumeration Date: 07/21/2018
Last Update Date: 02/10/2020
Certification Date: 02/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 W MARKHAM ST
LITTLE ROCK AR
72205-2405
US

IV. Provider business mailing address

20208 DWIGHT LITTLE RD
ROLAND AR
72135-9430
US

V. Phone/Fax

Practice location:
  • Phone: 501-227-8200
  • Fax: 501-227-8201
Mailing address:
  • Phone: 501-680-3025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number2018014344
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPD08315
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: