Organization
GWINNETT SUPPLY COMPANY LLC
Active
Other names
NEPHRON DISPENSARY
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PARMI SHAH (ADMINISTRATOR)
(678) 469-9891
Entity
Organization
Contact information
Practice address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4315
(770) 962-1231
Mailing address
605 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-4315
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
06/28/2012
Last updated
10/09/2018
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