Individual
KATHLEEN J COSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6134 RED MAPLE RD, ATLANTA, GA 30349-1287
(770) 964-0090
Mailing address
794 S PARK ST, CARROLLTON, GA 30117-3826
(770) 838-1678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH016362
GA
183500000X
Pharmacist
Primary
RPH14013
LA
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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