Davis, Samuel Mark

Davis, Samuel Mark is an individual health care provider with primary practice located at 3425 Middle Rd , Bettendorf IA 52722-3404. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Davis, Samuel Mark can be contacted via phone (563) 332-6049.

Contact Information

Primary practice address
3425 Middle Rd Bettendorf IA 52722-3404
Phone: (563) 332-6049
Fax: (563) 332-6162
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 14533 Iowa
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 14533 Iowa

Profile Details

NPI number 1497027171
LBN Legal business name Davis, Samuel Mark
Credentials PHARMACIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2012
Last updated Jan 27th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497027171 NPPES
Iowa Other 14533 IOWA BOARD OF PHARMACY
Iowa Other 051.031876 IOWA BOARD OF PHARMACY

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