CHARLES M DAVIS

POCATELLO, ID
NPI1548427818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: ID  P-4701)
Enumeration Date2008-05-22
Last Update Date2008-05-22
Business Address
Mr. CHARLES M DAVIS RPH
2530 MARILYN ST
POCATELLO, ID 83201-8022
Phone number: 208-237-6993
Mailing Address
Mr. CHARLES M DAVIS RPH
2530 MARILYN ST
POCATELLO, ID 83201-8022
Phone number: 208-237-6993
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