Provider Demographics
NPI:1679606271
Name:ROSENHAFT, CINDY M (RPH)
Entity type:Individual
Prefix:MR
First Name:CINDY
Middle Name:M
Last Name:ROSENHAFT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2942 SKYLAND DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-4724
Mailing Address - Country:US
Mailing Address - Phone:770-451-8542
Mailing Address - Fax:
Practice Address - Street 1:3964 PEACHTREE RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30319-3304
Practice Address - Country:US
Practice Address - Phone:404-237-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist