Healthcare Provider Details

I. General information

NPI: 1265784581
Provider Name (Legal Business Name): STEPHEN B DAVIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 JAKE ALEXANDER BLVD W
SALISBURY NC
28147-1370
US

IV. Provider business mailing address

525 JAKE ALEXANDER BLVD W
SALISBURY NC
28147-1370
US

V. Phone/Fax

Practice location:
  • Phone: 704-216-2070
  • Fax:
Mailing address:
  • Phone: 704-216-2070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS011254
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33722
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: