# ELBEN RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730695040
- **Authorized official:** CHRISTOPHER SULLENS (PRESIDENT)
- **Authorized official phone:** (770) 532-0186

## Contact information

- **Practice address:** 631 BROAD ST SE, GAINESVILLE, GA 30501-3729
- **Practice address phone:** (770) 532-0186
- **Practice address fax:** (770) 503-1016
- **Mailing address:** 631 BROAD ST SE, GAINESVILLE, GA 30501-3729
- **Mailing address phone:** (770) 532-0186
- **Mailing address fax:** (770) 503-1016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010419 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 12/21/2017
- **Last updated:** 09/19/2025