Provider Demographics
NPI:1598791493
Name:DAVIS, ESTELLA MARIE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ESTELLA
Middle Name:MARIE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 N 160TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-4074
Mailing Address - Country:US
Mailing Address - Phone:402-850-4303
Mailing Address - Fax:
Practice Address - Street 1:ALEGENT HEALTH BERGAN MERCY- INPATIENT PHARMACY
Practice Address - Street 2:7500 MERCY ROAD
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124
Practice Address - Country:US
Practice Address - Phone:402-398-5646
Practice Address - Fax:402-398-5928
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist