# GWINNETT CLINIC LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Gwinnett Clinic Pharmacy, BENZER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558560326
- **Authorized official:** DEEP SHAH MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (678) 428-4714

## Contact information

- **Practice address:** 475 PHILIP BLVD STE 102, LAWRENCEVILLE, GA 30046-8737
- **Practice address phone:** (678) 226-6212
- **Practice address fax:** (678) 225-4036
- **Mailing address:** 475 PHILIP BLVD STE 102, LAWRENCEVILLE, GA 30046-8737
- **Mailing address phone:** (678) 226-6212
- **Mailing address fax:** (678) 225-4036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 11/07/2025