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Organization
LAWRENCEVILLE DISCOUNT PHARMACY LLC
Active
Organization
LAWRENCEVILLE DISCOUNT PHARMACY LLC
Active
Other names
Lawrenceville Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FINGERMAN (OWNER)
(770) 682-9992
Entity
Organization
Contact information
Practice address
905 PARKSIDE WALK LN STE 108, LAWRENCEVILLE, GA 30043-7314
(770) 682-9992
Mailing address
905 PARKSIDE WALK LN, SUITE 108, LAWRENCEVILLE, GA 30043-7314
(770) 682-9992
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009807
GA
Other
Enumeration date
01/23/2012
Last updated
07/26/2012
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