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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRROR LAKE DRUGS & MEDICAL SERVICES LLC

Active Organization

MIRROR LAKE DRUGS & MEDICAL SERVICES LLC is a Long-Term Care Pharmacy organization located in VILLA RICA, Georgia. NPI 1962755256 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · VILLA RICA, GA

Registration Details

NPI Number
1962755256
Provider Type
Organization
NPI Issued
Oct 24, 2012 (13.785176984024 yrs)
Last Updated
Oct 22, 2020
License
PHRE009876 (GA)

Practice Information

Address
895 DALLAS HWY
VILLA RICA, GA, 301801237
Browse GA providers · Browse ZIP 30180
Phone
7704621152
Fax
7704621154
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Pharmacy
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in VILLA RICA, GA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.