Provider Demographics
NPI:1821441692
Name:KROLL, BRENNAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRENNAN
Middle Name:
Last Name:KROLL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3430 TEN TEN RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6158
Mailing Address - Country:US
Mailing Address - Phone:919-303-6987
Mailing Address - Fax:919-303-6989
Practice Address - Street 1:3430 TEN TEN RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6158
Practice Address - Country:US
Practice Address - Phone:919-303-6987
Practice Address - Fax:919-303-6989
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC26297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist