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NPI Code Detail

MEDICARE: JULIE AMANDA DAVIS PHARMD

MEDICARE: JULIE AMANDA DAVIS PHARMD
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
1183500000XPharmacistPD14567AR

General Provider Information

NPI Number : 1578420824
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE AMANDA DAVIS PHARMD
Provider Business Mailing Address
First Line : 17827 N HIGHWAY 71
Second Line :
City : MOUNTAINBURG
State : AR
Zip : 72946-3661
Country : US
Telephone Number : 479-314-6540
Fax Number :
Provider Business Practice Location Address
First Line : 7301 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4100
Country : US
Telephone Number : 479-314-6540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ JULIE AMANDA DAVIS PHARMD” Practice Location

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