NPI 1053697631

Edwin Clyde Davis, PHARMD

Practitioner Pharmacist Lebanon, TN

Practice location

Address: 1303 W Main St, Lebanon, TN 37087-3209
Phone: (615) 449-4330

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 27071 (TN)

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Registry record

NPI: 1053697631
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2011
Record last updated: 27 Feb 2014

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.