Most Relevant Information
Provider Data
| NPI Number: | 1003049107 |
| Provider Name: | LYDIA SUSANNE DAVIS B.S., R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 7524 |
Most Important Dates
| Enumeration Date: | 08/24/2009 |
| Last Updated: | 08/24/2009 |
Provider Practice Location
226 SE 8TH AVE
HILLSBORO
OR
971234218
Practice Location Phone/Fax
| Phone: | 5036017410 |
| Fax: | 5036017316 |
Provider Mailing Location
226 SE 8TH AVE
HILLSBORO
OR
971234218
Provider Mailing Phone/Fax
| Phone: | 5036017410 |
| Fax: | 5036017316 |