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Organization
GWINNETT SUPPLY COMPANY LLC
Active
Organization
GWINNETT SUPPLY COMPANY LLC
Active
Other names
NEPHRON DISPENSARY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PARMI SHAH (ADMINISTRATOR)
(678) 469-9891
Entity
Organization
Contact information
Practice address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4315
(770) 962-1231
Mailing address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4315
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
333600000X
Pharmacy
—
NULL
Other
Enumeration date
06/28/2012
Last updated
10/09/2018
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