Trey Austin Davenhill, PharmD
Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Medford, OR. Individual provider (NPI-1).
NPI number1164064515
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1164064515
- Entity type
- Individual (NPI-1)
- Name
- Trey Austin Davenhill
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2019
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835P0018X | Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 0017516 | OR | Yes |
| 183500000X | Pharmacist | 0017516 | OR |
Practice location
2424 Crater Lake HwyMedford, OR 97504-4181
Phone 541-734-2133
Mailing address
2424 Crater Lake HwyMedford, OR 97504-4181
Phone 541-734-2133
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