Organization · NPI-2
Collaborativerx
Pharmacy, Community/Retail Pharmacy · Lawrenceville, GA
NPI number1306346788
StatusActive
Last updated in NPPESFeb 13, 2018
Details
- NPI
- 1306346788
- Entity type
- Organization (NPI-2)
- Legal business name
- Collaborativerx
- Organization subpart
- No
- Enumeration date
- Feb 13, 2018
- Last updated
- Feb 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHRE010426 | GA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Salveo Integrative Pharmacy (Doing Business As)
Practice location
311 Gwinnett Dr Ste 250Lawrenceville, GA 30046-5671
Phone 404-585-5445 · Fax 678-498-6093
Mailing address
311 Gwinnett Dr Ste 250Suite 250
Lawrenceville, GA 30046-5671
Phone 404-585-5445 · Fax 678-498-6093
Authorized official
Naveed Tharwani
Pharmacist
4045855445
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