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NPI Code Detail

MEDICARE: DR. ROGER LEE DAVIS PHARM.D.

MEDICARE: DR. ROGER LEE DAVIS PHARM.D.
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
1183500000XPharmacist160TN

General Provider Information

NPI Number : 1073745964
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER LEE DAVIS PHARM.D.
Provider Business Mailing Address
First Line : 8375 GREENVALE DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37221-4005
Country : US
Telephone Number : 615-969-4524
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3956
Country : US
Telephone Number : 615-966-7161
Fax Number : 675-966-7163
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2009
Last Update Date : 08/11/2009

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