NPI 1003197559

Troy L Davis, PHARMD

Practitioner Pharmacist Moore, OK

Practice location

Address: 1229 N Eastern Ave, Moore, OK 73160-5860
Phone: (405) 793-1120
Fax: (405) 793-9536

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 12866 (OK)

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Registry record

NPI: 1003197559
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2011
Record last updated: 29 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.