Rockmart Pharmacy & Medical Services Llc
LBN: Mirror Lake Drugs & Medical Services Llc
Rockmart Pharmacy & Medical Services Llc is an health care organization with primary practice located at 895 Dallas Hwy , Villa Rica GA 30180-1237. The organization recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mirror Lake Drugs & Medical Services Llc can be contacted via phone (770) 462-1152, or through Ihekwereme, Chymar Okorie via phone (770) 462-1152.
Contact Information
Primary practice address
895 Dallas Hwy
Villa Rica GA 30180-1237
Phone: (770) 462-1152
Fax: (770) 462-1154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE009876 | Georgia |
Profile Details
| NPI number | 1962755256 |
|---|---|
| LBN Legal business name | Mirror Lake Drugs & Medical Services Llc |
| DBA Doing business as | Rockmart Pharmacy & Medical Services Llc |
| Authorized official | Ihekwereme, Chymar Okorie RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2012 |
| Last updated | Oct 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962755256 | NPPES |
| Georgia | MEDICAID | 003129213A | |
| Georgia | Other | 2137507 |
Popular Providers
-
Bioscrip Pharmacy, Inc.
1874 Piedmont Ave Ne Bldg A Suite A, Atlanta GA 30324-4869 -
Express Care Pharmacy Inc.
801 E Broadway Unit A, Glendale CA 91205-4528 -
Princeton Drug
105 Broyles Dr , Johnson City TN 37601-2542 -
Walgreen Co
684 W Bankhead Hwy , Villa Rica GA 30180-1601 -
Walgreen Co
62 Industrial Blvd , Villa Rica GA 30180-1545 -
Villa Rica Rx Llc
222 West Wilson Street , Villa Rica GA 30180 -
Bioscrip Pharmacy, Inc.
8490 Santa Monica Blvd Ste 1, West Hollywood CA 90069-4261 -
Publix Super Markets, Inc.
103 Mirror Lake Connector Ste 200 , Villa Rica GA 30180-3272