Brian Patrick Crogen | Alpharetta, GA • PECOS Search

Brian Patrick Crogen

Pharmacist

Pharmacy Service Providers

4035 Walnut Creek Trl, Alpharetta, GA 30005-7499

PECOS Enrollment

Based on the most recent information from CMS, provider Brian Patrick Crogen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1598167876
Provider Type
Individual
Full Name
Crogen, Brian Patrick
Credential
PHARM.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/18/2014
Last Updated
9/18/2014

Contact Information

Practice Location

4035 Walnut Creek Trl, Alpharetta, GA 30005-7499

Unlisted Fax

Mailing Location

4035 Walnut Creek Trl, Alpharetta, GA 30005-7499

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RPH028068 Georgia