Individual
BRIAN CROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
780 CHURCH ST NE, MARIETTA, GA 30060-7269
(770) 422-2387
Mailing address
780 CHURCH ST NE, MARIETTA, GA 30060-7269
(770) 422-2387
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH028557
RPH028557
GA
Enumeration date
07/16/2015
Last updated
07/16/2015
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