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NPI Code Detail

MEDICARE: DR. JASON R DAVIS PHARMD

MEDICARE: DR. JASON R 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
11835G0303XGeriatric PharmacistRP441785PA

General Provider Information

NPI Number : 1932405495
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON R DAVIS PHARMD
Provider Business Mailing Address
First Line : 219 N BALTIMORE AVE
Second Line :
City : MOUNT HOLLY SPRINGS
State : PA
Zip : 17065-1204
Country : US
Telephone Number : 800-266-9954
Fax Number : 800-266-9947
Provider Business Practice Location Address
First Line : 219 N BALTIMORE AVE
Second Line :
City : MOUNT HOLLY SPRINGS
State : PA
Zip : 17065-1204
Country : US
Telephone Number : 800-266-9954
Fax Number : 800-266-9947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2011
Last Update Date : 02/01/2011

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