# GREDEL PHARMACY

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

## Provider details

- **NPI number:** 1740936327
- **Authorized official:** DR. ADAKU UGWU (CO OWNER)
- **Authorized official phone:** (678) 202-4804

## Contact information

- **Practice address:** 4095 ATLANTA HWY, HIRAM, GA 30141
- **Practice address phone:** (678) 202-4804
- **Mailing address:** 4095 ATLANTA HWY, HIRAM, GA 30141-1854
- **Mailing address phone:** (678) 202-4804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 05/19/2025