IndividualActive
Courtney Davis
NPI 1376153734 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Madisonville, KY
Provider details
- NPI number
- 1376153734
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1-112118 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
545 Island Ford Rd
Madisonville, KY 42431-8727
Phone: (270) 821-0692
Approximate (ZIP-level) locationGet directions
Mailing address
545 Island Ford Rd
Madisonville, KY 42431-8727
Registry dates
- Enumerated
- 2020-07-31
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.