Provider Demographics
NPI:1477146975
Name:DAVIS, ROLANDA EVELYN (RPH)
Entity Type:Individual
Prefix:MS
First Name:ROLANDA
Middle Name:EVELYN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:ROLANDA
Other - Middle Name:EVELYN
Other - Last Name:HOPKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7206 CREEKS BEND DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3524
Mailing Address - Country:US
Mailing Address - Phone:313-320-3009
Mailing Address - Fax:313-334-6710
Practice Address - Street 1:15400 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3724
Practice Address - Country:US
Practice Address - Phone:313-416-6262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302410786183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist