# LAWRENCEVILLE DISCOUNT PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrenceville Discount Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023389046
- **Authorized official:** MICHAEL FINGERMAN (OWNER)
- **Authorized official phone:** (770) 682-9992

## Contact information

- **Practice address:** 905 PARKSIDE WALK LN STE 108, LAWRENCEVILLE, GA 30043-7314
- **Practice address phone:** (770) 682-9992
- **Mailing address:** 905 PARKSIDE WALK LN, SUITE 108, LAWRENCEVILLE, GA 30043-7314
- **Mailing address phone:** (770) 682-9992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE009807 | GA | Yes |

## Other

- **Enumeration date:** 01/23/2012
- **Last updated:** 07/26/2012
