Provider Demographics
NPI:1013447044
Name:PHARMACY INVESTMENTS OF LAWRENCEVILLE, LLC
Entity Type:Organization
Organization Name:PHARMACY INVESTMENTS OF LAWRENCEVILLE, LLC
Other - Org Name:RX PLUS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:X
Authorized Official - Credentials:
Authorized Official - Phone:789-338-9656
Mailing Address - Street 1:738 OLD NORCROSS ROAD
Mailing Address - Street 2:STE A
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-1234
Mailing Address - Country:US
Mailing Address - Phone:678-878-2087
Mailing Address - Fax:678-878-2088
Practice Address - Street 1:738 OLD NORCROSS ROAD
Practice Address - Street 2:STE A
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:678-878-2087
Practice Address - Fax:678-878-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE0103543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy