Organization
LAWRENCEVILLE COMMUNITY PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREPHENE BROWN (OWNER)
(919) 904-6668
Entity
Organization
Contact information
Practice address
3157 SUGARLOAF PKWY STE 103, LAWRENCEVILLE, GA 30045-9490
(919) 904-6668
Mailing address
3157 SUGARLOAF PKWY STE 103, LAWRENCEVILLE, GA 30045-9490
(919) 904-6668
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
11/13/2019
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