| Provider / Organization | NPI | Date Certified |
|---|---|---|
| COLLETTE M DAVIS | 1487305959 | 2022-01-15 |
Collette M Davis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487305959. Registration indicates Collette M Davis is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Collette M Davis |
| Practice Office Address | 45 COLUMBIA AVE E BATTLE CREEK, MI US |
| Practice Office Telephone | 2699655631 |
| Practice Office Fax | 2699653478 |
| Mailing Address | 45 COLUMBIA AVE E BATTLE CREEK, MI 490153703 US |
| Business Telephone | 2699655631 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 5302025462
MI |