Roger A Davenport, RPH | |
200 Cheyenne Ave, Canadian, TX 79014-3018 | |
(806) 323-6171 | |
(806) 323-6133 |
Full Name | Roger A Davenport |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 200 Cheyenne Ave, Canadian, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427146299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 18786 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Roger A Davenport, RPH 200 Cheyenne Ave, Canadian, TX 79014-3018 Ph: (806) 323-6171 | Roger A Davenport, RPH 200 Cheyenne Ave, Canadian, TX 79014-3018 Ph: (806) 323-6171 |
Brooke Richardson, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 200 Cheyenne Ave, Canadian, TX 79014 Phone: 806-323-9616 | |
Dee Ann Hare, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 200 Cheyenne Ave, Canadian, TX 79014 Phone: 806-323-6171 Fax: 806-323-6133 |