Individual provider · NPI-1
Susie Davis, CPht
Pharmacy Technician · Charlotte, NC
NPI number1457943540
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1457943540
- Entity type
- Individual (NPI-1)
- Name
- Susie Davis
- Credential
- CPht
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | 00357 | NC | Yes |
Practice location
4428 Taggart Creek Rd Ste 101Charlotte, NC 28208-5400
Phone 704-350-3584
Mailing address
7250 Price PtDenver, NC 28037-8019
Phone 704-664-0458
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