Healthcare Provider Details

I. General information

NPI: 1790693901
Provider Name (Legal Business Name): GIGI ANNE DAVIDSON RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 HATLEY RD
PITTSBORO NC
27312-5449
US

IV. Provider business mailing address

1043 HATLEY RD NCSU COLLEGE OF VET MED/VETPHARM
PITTSBORO NC
27312-5449
US

V. Phone/Fax

Practice location:
  • Phone: 919-218-4604
  • Fax:
Mailing address:
  • Phone: 919-218-4604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number8408
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: