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Dr. Charles L Davenport JR.
Pharmacist in Mableton, Georgia
NPI 1104038686

Charles L Davenport JR. is a Pharmacist based in Mableton, GA. Charles L Davenport JR. practices in Mableton, GA. The NPI Number for Charles L Davenport JR. is 1104038686 and holds a License No. GA017346 (Georgia).

The current practice location address for Charles L Davenport JR. is 558 Ivey Way S.e., Mableton, GA and can be reached out via phone at 678-575-8701.

Location: 558 Ivey Way S.e., Mableton, GA, 30126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104038686
Provider Name
Charles L Davenport JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
558 Ivey Way S.e., Mableton, GA, 30126
Phone Number
678-575-8701
Fax Number
Provider Enumeration Date
05/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
558 Ivey Way S.e.
City
Mableton
State
Georgia
Zip
30126
Phone Number
678-575-8701
Fax Number
person
Provider Business Mailing Address Details
Address
558 Ivey Way S.e.
City
Mableton
State
Georgia
Zip
30126
Phone Number
678-575-8701
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
GA017346 (Georgia)
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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