Mandy Conner Davenport PHARMD

NPI 1457511446 - Pharmacist - 183500000X

NPI Details
NPI 1457511446
Gender Female
Enumeration Date 06/12/2008
Last Updated 07/19/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
603 NORTHSIDE DR W
STATESBORO GA, 30458-5378, US
Phone (912) 764-8241
Fax (912) 489-4818
Business Location
603 NORTHSIDE DR W
STATESBORO GA, 30458-5378, US
Phone (912) 764-8241
Fax (912) 489-4818
Toxanomy
Taxonomy Code 183500000X
License State Georgia
License Number RPH021364
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According to our database, Dr. Mandy Conner Davenport PHARMD NPI is 1457511446, taxonomy code is 183500000X and license number is RPH021364, license state is located at Georgia. Mandy Conner Davenport PHARMD physically located at 603 Northside Dr W, Statesboro GA, 30458-5378. NPI Number Mandy Conner Davenport PHARMD has the Individual type.

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1457511446 NPI number is provided on an as is basis without warranty of any kind. 1457511446 is maintained by the National Plan & Provider Enumeration System. The contents of Mandy Conner Davenport PHARMD are for informational purposes only.