Provider Demographics
NPI:1285928366
Name:DAVIS, CAITLIN (PHARM D)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
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 1:7150 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-4602
Mailing Address - Country:US
Mailing Address - Phone:727-803-0023
Mailing Address - Fax:727-324-2704
Practice Address - Street 1:7150 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-4602
Practice Address - Country:US
Practice Address - Phone:727-803-0023
Practice Address - Fax:727-324-2704
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist