Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Roosevelt N/A Davis, RPH

Individual provider Pharmacotherapy Pharmacist · NPI 1003844408

Mr. Roosevelt N/A Davis, RPH is a Pharmacotherapy Pharmacist in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Fax: (404) 327-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 014377 (GA)

Record details

NPI number1003844408
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESJuly 8, 2007

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