Provider Demographics
NPI:1679675250
Name:DAVISON, CURTIS P JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:CURTIS
Middle Name:P
Last Name:DAVISON
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:904 DENVER PL
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-2148
Mailing Address - Country:US
Mailing Address - Phone:805-647-2512
Mailing Address - Fax:805-647-4587
Practice Address - Street 1:110 W HARVARD BLVD
Practice Address - Street 2:SUITE H
Practice Address - City:SANTA PAULA
Practice Address - State:CA
Practice Address - Zip Code:93060-3874
Practice Address - Country:US
Practice Address - Phone:805-525-3313
Practice Address - Fax:805-933-9307
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA23656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist