Organization
GREDEL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAKU UGWU (CO OWNER)
(678) 202-4804
Entity
Organization
Contact information
Practice address
4095 ATLANTA HWY, HIRAM, GA 30141
(678) 202-4804
Mailing address
4095 ATLANTA HWY, HIRAM, GA 30141-1854
(678) 202-4804
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/23/2022
Last updated
05/19/2025
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