Ty Davidson, PHARMD

NPI 1659396638 · on the registry since 2006

Practice

Address: 207 Professional Way
Shelton, WA 98584
Phone: (360) 426-4272
Fax: (360) 426-6977
Organisation at this address: Pharmacy Operations, Inc
Saint-Mark Enterprises 106 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington