Provider Demographics
NPI:1508919788
Name:VOGES, ALAN MITCHELL JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:MITCHELL
Last Name:VOGES
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MCFARLAND RD
Mailing Address - Street 2:
Mailing Address - City:LOOKOUT MTN
Mailing Address - State:GA
Mailing Address - Zip Code:30750
Mailing Address - Country:US
Mailing Address - Phone:706-820-1627
Mailing Address - Fax:706-820-1164
Practice Address - Street 1:100 MCFARLAND RD
Practice Address - Street 2:
Practice Address - City:LOOKOUT MTN
Practice Address - State:GA
Practice Address - Zip Code:30750
Practice Address - Country:US
Practice Address - Phone:706-820-1627
Practice Address - Fax:706-820-1164
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist