Davis, Crystal Marie

Davis, Crystal Marie is an sole proprietor health care provider with primary practice located at 715 12Th Ave S , Nampa ID 83651-4254. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Davis, Crystal Marie can be contacted via phone (208) 466-3592.

Contact Information

Primary practice address
715 12Th Ave S Nampa ID 83651-4254
Phone: (208) 466-3592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5825725 Utah
Pharmacy Service Providers / Pharmacist 183500000X P6581 Idaho

Profile Details

NPI number 1285928473
LBN Legal business name Davis, Crystal Marie
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2011
Last updated Jul 10th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers