Individual provider · Type 1 NPI

Jordan Clark Davis, PHARM D

Pharmacist · San Carlos, AZ

NPI number 1407134935 Active

Practice location

1223 Cibecue Cir
San Carlos, AZ 85550-0208

Fax (928) 475-7272

Mailing address

PO Box 208
San Carlos, AZ 85550-0208

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XS018104 (AZ)

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 1407134935

Jordan Clark Davis, PHARM D's National Provider Identifier is 1407134935, issued on Aug 2, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Carlos, AZ. The record was last updated on Aug 2, 2011.