Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lilburn Community Pharmacy

Organization Pharmacy · NPI 1134563406

Lilburn Community Pharmacy is a Pharmacy in Lilburn, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
Specialties on file
4

Practice location Address checks out

4025 Lawrenceville Hwy NW Ste D
Lilburn, GA 30047-2876
Phone: (770) 710-0478
Fax: (770) 710-0861
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 325 Lester Rd Nw Ste B, Lawrenceville, GA 30044-4046 — (770) 935-1515

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHRE009917 (GA)
Pharmacy Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1134563406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samina Khatri — Owner/Organizer · (770) 710-0478
Other names Lilburn Community Pharmacy
NPI enumeratedApril 17, 2013
Last updated in NPPESMay 4, 2024
Certification dateFebruary 3, 2022
Mailing address2147 Whitestone Ct Se, Smyrna, GA 30080-3116

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