Broxton Thayne Davis, PHARMD

Pharmacist · Mishawaka, IN

Individual Active NPI

NPI number 1013431162

Practice location

420 W 4TH St
Mishawaka, IN 46544-1948
Phone
(574) 307-7673

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NPI record

NPI
1013431162
Entity type
Individual (Type 1)
Enumeration date
July 31, 2017
Last updated
February 20, 2024
Certified
February 20, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 26027265A IN

Mailing address

2401 Valley Dr
Valparaiso, IN 46383-2520

About Dr. Davis

Broxton Thayne Davis, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 420 W 4TH St, Mishawaka, IN 46544-1948. The NPI number 1013431162 was assigned on July 31, 2017 and the record was last updated on February 20, 2024.

Dr. Davis lists a license in the registry: #26027265A (IN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Broxton Thayne Davis, PHARMD?

The NPI number is 1013431162.

What is the phone number of Dr. Davis?

The phone number listed for the practice location is (574) 307-7673.

Where is Dr. Davis located?

420 W 4TH St, Mishawaka, IN 46544-1948.

What is the taxonomy code for Dr. Davis?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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