Provider Demographics
NPI:1932703444
Name:DAVES, RAYMOND ARTHUR JR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ARTHUR
Last Name:DAVES
Suffix:JR
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 BELTLINE RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6338
Mailing Address - Country:US
Mailing Address - Phone:256-355-8465
Mailing Address - Fax:
Practice Address - Street 1:812 BELTLINE RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6338
Practice Address - Country:US
Practice Address - Phone:256-355-8465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist