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NPI Code Detail

MEDICARE: REBEKAH DAVIS

MEDICARE:   REBEKAH  DAVIS
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
1183500000XPharmacist49249TX

General Provider Information

NPI Number : 1922300938
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH DAVIS
Provider Business Mailing Address
First Line : 900 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3617
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 900 S BOWMAN RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3617
Country : US
Telephone Number : 501-219-0283
Fax Number : 903-675-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2010
Last Update Date : 02/19/2024

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Directions to “ REBEKAH DAVIS ” Practice Location

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