Provider Demographics
NPI:1053623363
Name:DAVIS, JAMES MONROE (PHARM D)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MONROE
Last Name:DAVIS
Suffix:
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 1:82 ELMORE RD
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38555-6071
Mailing Address - Country:US
Mailing Address - Phone:931-456-5023
Mailing Address - Fax:931-456-1106
Practice Address - Street 1:82 ELMORE RD
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38555-6071
Practice Address - Country:US
Practice Address - Phone:931-456-5023
Practice Address - Fax:931-456-1106
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000029581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist