Organization
ALLWELL PHARMACY INC.
Active
Other names
ALLWELL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT PATEL (CHIEF EXECUTIVE OFFICER)
(770) 331-7964
Entity
Organization
Contact information
Practice address
1235 INDIAN TRAIL LILBURN RD STE B401, SUITE- B 401, NORCROSS, GA 30093-5524
(770) 331-7964
(770) 864-5645
Mailing address
4430 EGRET AVE, CUMMING, GA 30041-4769
(770) 331-7964
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE010387
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170238
PK
—
Enumeration date
10/03/2017
Last updated
10/03/2017
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