Individual provider · Type 1 NPI

Larry V. Davison, R. PH.

Pharmacist · Clinton, MO

NPI number 1104034446 Active

Practice location

1600 N 2nd St
Clinton, MO 64735-1192

Mailing address

800 W Jefferson St
Clinton, MO 64735-1939

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X28369 (MO)
Pharmacist 183500000X09115 (KS)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104034446

Larry V. Davison, R. PH.'s National Provider Identifier is 1104034446, issued on May 18, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Clinton, MO. The record was last updated on Jul 8, 2007.