MEDICARE: DR. COURTNEY ANNE CRNOBRNJA PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03335050	OH

General Provider Information

NPI Number	:	1598132920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY ANNE CRNOBRNJA PHARMD

Provider Business Mailing Address
First Line	:	2015 STATE RD STE B
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1425
Country	:	US
Telephone Number	:	330-926-5941
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 STATE RD STE B
Second Line	:
City	:	CUYAHOGA FALLS
State	:	OH
Zip	:	44223-1425
Country	:	US
Telephone Number	:	330-926-5941
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2015
Last Update Date	:	04/29/2024

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