Individual provider · Type 1 NPI
Charles L. Davenport Jr.
Pharmacist · Mableton, GA
Practice location
558 Ivey Way S.e.
Mableton, GA 30126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | GA017346 (GA) |
Pharmacist: 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…
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About NPI 1104038686
Charles L. Davenport Jr.'s National Provider Identifier is 1104038686, issued on May 4, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mableton, GA. The record was last updated on Jul 8, 2007.