Clifford Marsh Davis, PHARM D
Individual provider Active NPI Pharmacist · Hardy, AR
NPI 1720138068 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720138068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- AR8368 (AR)
- Practice address
- Hwy 62-412
Midway Plaza
Hardy, AR 72542 - Phone
- (970) 856-3080
- Fax
- (870) 856-4165
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR8368 | AR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | AR8368 | AR | Yes |
Addresses
Primary practice location
Hwy 62-412
Midway Plaza
Hardy, AR 72542
Mailing address
PO Box 428
Ash Flat, AR 72513-0428
Other providers in Hardy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.