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Organization
OLD NORCROSS ROAD PHARMACY LLC
Active
Organization
OLD NORCROSS ROAD PHARMACY LLC
Active
Other names
Old Norcross Road Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINUS IGBOKWE (DIRECTOR/ OWNER)
(770) 682-8622
Entity
Organization
Contact information
Practice address
558 OLD NORCROSS RD, SUITE 201, LAWRENCEVILLE, GA 30046-4385
(770) 682-8622
(770) 682-8623
Mailing address
558 OLD NORCROSS RD, SUITE 201, LAWRENCEVILLE, GA 30046-4385
(770) 682-8622
(770) 682-8623
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009621
GA
Other
Enumeration date
12/08/2009
Last updated
08/10/2010
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