Provider Demographics
NPI:1124902788
Name:DAVIS, CELESTE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9505 CHAD COLLEY BLVD UNIT 4203
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-3312
Mailing Address - Country:US
Mailing Address - Phone:479-719-3051
Mailing Address - Fax:
Practice Address - Street 1:9505 CHAD COLLEY BLVD UNIT 4203
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-3312
Practice Address - Country:US
Practice Address - Phone:479-719-3051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD13222183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist