MEDICARE: DR. JUSTIN HOWARD 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
1	183500000X	Pharmacist	14398	SC

General Provider Information

NPI Number	:	1326475658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN HOWARD DAVIS PHARM.D.

Provider Business Mailing Address
First Line	:	1937 DAVANT CIR
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-6257
Country	:	US
Telephone Number	:	843-412-1588
Fax Number	:

Provider Business Practice Location Address
First Line	:	2195 TEA PLANTER LN
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29466-7804
Country	:	US
Telephone Number	:	843-881-2583
Fax Number	:	843-881-2852

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2013
Last Update Date	:	06/02/2026

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