Provider Demographics
NPI:1306323431
Name:DAVIDSON, BOBBIE E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BOBBIE
Middle Name:E
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:BOBBIE
Other - Middle Name:E
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:20208 DWIGHT LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:ROLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72135-9430
Mailing Address - Country:US
Mailing Address - Phone:501-680-3025
Mailing Address - Fax:
Practice Address - Street 1:8415 W MARKHAM ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2405
Practice Address - Country:US
Practice Address - Phone:501-227-8200
Practice Address - Fax:501-227-8201
Is Sole Proprietor?:No
Enumeration Date:2018-07-21
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20180143441835P0018X
ARPD083151835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist