# GWINNETT DRUGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720581440
- **Authorized official:** NAVEED THARWANI (PRESIDENT)
- **Authorized official phone:** (770) 846-8671

## Contact information

- **Practice address:** 905 PARKSIDE WALK LN STE 108, LAWRENCEVILLE, GA 30043-7314
- **Practice address phone:** (770) 995-5911
- **Practice address fax:** (770) 995-5308
- **Mailing address:** 905 PARKSIDE WALK LN STE 108, LAWRENCEVILLE, GA 30043-7314
- **Mailing address phone:** (770) 995-5911
- **Mailing address fax:** (770) 995-5308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHRE009959 | GA | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/09/2018
- **Last updated:** 04/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2176395 | PK | — |