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Mirror Lake Drugs & Medical Services Llc
Community/Retail Pharmacy in Villa Rica, Georgia
NPI 1962755256

Mirror Lake Drugs & Medical Services Llc is a Community/Retail Pharmacy based in Villa Rica, GA and is specialized in Community/Retail Pharmacy. Mirror Lake Drugs & Medical Services Llc practices in Villa Rica, GA. The NPI Number for Mirror Lake Drugs & Medical Services Llc is 1962755256 and holds a License No. (Georgia).

The current practice location address for Mirror Lake Drugs & Medical Services Llc is 895 Dallas Hwy, Villa Rica, GA and can be reached out via phone at 770-462-1152 and via fax at 770-462-1154.

Location: 895 Dallas Hwy, Villa Rica, GA, 30180-1237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962755256
Provider Name
Mirror Lake Drugs & Medical Services Llc
Credential
Provider Entity Type
Organization
Address
895 Dallas Hwy, Villa Rica, GA, 30180-1237
Phone Number
770-462-1152
Fax Number
770-462-1154
Provider Enumeration Date
10/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003129213A 05 GA
2137507 01 PK
institution
Provider Business Practice Location Address Details
Address
895 Dallas Hwy
City
Villa Rica
State
Georgia
Zip
30180-1237
Phone Number
770-462-1152
Fax Number
770-462-1154
person
Provider Business Mailing Address Details
Address
895 Dallas Hwy
City
Villa Rica
State
Georgia
Zip
30180-1237
Phone Number
770-462-1152
Fax Number
770-462-1154
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
PHRE009876 (Georgia)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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