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Broxton Thayne Davis, PHARMD
Pharmacist in Mishawaka, Indiana
NPI 1013431162

Broxton Thayne Davis is a Pharmacist based in Valparaiso, IN. Broxton Thayne Davis practices in Mishawaka, IN and has the professional credentials of PHARMD. The NPI Number for Broxton Thayne Davis is 1013431162 and holds a License No. 26027265A (Indiana).

The current practice location address for Broxton Thayne Davis is 420 W 4Th St, Mishawaka, IN and can be reached out via phone at 574-307-7673.

Location: 420 W 4Th St, Mishawaka, IN, 46383-2520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013431162
Provider Name
Broxton Thayne Davis
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
420 W 4Th St, Mishawaka, IN, 46383-2520
Phone Number
574-307-7673
Fax Number
Provider Enumeration Date
07/31/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
420 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
person
Provider Business Mailing Address Details
Address
420 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26027265A (Indiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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