NPI 1518221134

Gwinnett Supply Company LLC

Organisation Non-Pharmacy Dispensing Site Lawrenceville, GA

Practice location

Address: 605 Old Norcross Rd, Lawrenceville, GA 30046-4315
Phone: (770) 962-1231

Authorised official

Name: Parmi Shah
Title: Administrator
Phone: (678) 469-9891

Registered specialties (2)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Pharmacy

Suppliers Taxonomy 333600000X

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Registry record

NPI: 1518221134
Entity type: Organization
NPI issued: 28 Jun 2012
Record last updated: 9 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.