| 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  |