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Organization
GWINNETT SUPPLY COMPANY LLC
Active
Organization
GWINNETT SUPPLY COMPANY LLC
Active
Other names
Nephron Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PARMI SHAH (ADMINISTRATOR)
(678) 469-9891
Entity
Organization
Contact information
Practice address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4315
(678) 325-3331
(770) 339-1859
Mailing address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4315
(678) 325-3331
(770) 339-1859
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHRE010690
GA BOARD OF PHARMACY
GA
Enumeration date
11/27/2018
Last updated
02/27/2019
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