Provider Demographics
NPI:1992274674
Name:KROHN, CHRISTY (PHARMD)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:KROHN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 ALDRICH DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-5328
Mailing Address - Country:US
Mailing Address - Phone:404-906-9529
Mailing Address - Fax:
Practice Address - Street 1:2775 ALDRICH DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-5328
Practice Address - Country:US
Practice Address - Phone:404-906-9529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-25
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11175183500000X
GA21525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist