Provider Demographics
NPI:1972814945
Name:COPE, ROY DALE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:DALE
Last Name:COPE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 POPLAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2808
Mailing Address - Country:US
Mailing Address - Phone:706-935-6900
Mailing Address - Fax:706-935-6929
Practice Address - Street 1:67 POPLAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2808
Practice Address - Country:US
Practice Address - Phone:706-935-6900
Practice Address - Fax:706-935-6929
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH023763183500000X
TN28798183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist