GWINNETT CLINIC LTD NPI 1558560326

NPI Information

  • NPI: 1558560326
  • Provider Name: GWINNETT CLINIC LTD
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 475 PHILIP BLVD STE 102
    LAWRENCEVILLE, GA
    ZIP 30046
  • Phone: (678) 226-6212

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NPI Details

GWINNETT CLINIC LTD is a community/retail pharmacy pharmacy in Lawrenceville, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. GWINNETT CLINIC LTD NPI is 1558560326. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

475 PHILIP BLVD STE 102
LAWRENCEVILLE, GA
ZIP 30046-737
Phone: (678) 226-6212
Fax: (678) 225-4036

The provider's authorized official is Deep Shah .
The authorized official title is Authorized Official and has the following contact phone number (678) 428-4714.

The enumeration date for this NPI number is 7/12/2007 and was last updated on 11/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1116276832AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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