Healthcare Provider Details

I. General information

NPI: 1598688152
Provider Name (Legal Business Name): HELEN SONG CREAGAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 GRACE HILL DR
ROSWELL GA
30075-5880
US

IV. Provider business mailing address

1060 GRACE HILL DR
ROSWELL GA
30075-5880
US

V. Phone/Fax

Practice location:
  • Phone: 404-219-0567
  • Fax:
Mailing address:
  • Phone: 404-219-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRPH014200
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: