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Organization
GWINNETT DRUGS LLC
Active
Organization
GWINNETT DRUGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEED THARWANI (PRESIDENT)
(770) 846-8671
Entity
Organization
Contact information
Practice address
905 PARKSIDE WALK LN STE 108, LAWRENCEVILLE, GA 30043-7314
(770) 995-5911
(770) 995-5308
Mailing address
905 PARKSIDE WALK LN STE 108, LAWRENCEVILLE, GA 30043-7314
(770) 995-5911
(770) 995-5308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHRE009959
GA
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176395
PK
—
Enumeration date
03/09/2018
Last updated
04/09/2018
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