NPI 1134297120
Randy Ward Davidson, PHT
Practice location
- Address
- 61 River Rd, McIntosh, AL 36553-0247
- Phone
- (251) 944-2563
- Fax
- (251) 944-3080
- Mailing address
- P O Box 185, McIntosh, AL 36553-0185
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1134297120
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Nov 2006
- Record last updated
- 8 Jul 2007
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.