NPI 1033714878

Roger Cnossen, PHARMD

Practitioner Pharmacist Austell, GA

Practice location

Address: 4125 Austell Rd, Austell, GA 30106-1836
Phone: (678) 945-4530
Fax: (770) 250-4827

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH029373 (GA)

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Registry record

NPI: 1033714878
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2020
Record last updated: 1 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.