Provider Demographics
NPI:1639158553
Name:DAVIDSON, JOAN S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:S
Last Name:DAVIDSON
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 1:308 WESLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-1522
Mailing Address - Country:US
Mailing Address - Phone:919-923-6500
Mailing Address - Fax:919-929-9702
Practice Address - Street 1:308 WESLEY DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-1522
Practice Address - Country:US
Practice Address - Phone:919-923-6500
Practice Address - Fax:919-929-9702
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist