# MORTAR & PESTLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Medicine Cabinet
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629418793
- **Authorized official:** JON MEEKS (OWNER/PHARMACIST)
- **Authorized official phone:** (912) 383-8510

## Contact information

- **Practice address:** 205 VERNON STREET, LAGRANGE, GA 30240
- **Practice address phone:** (706) 298-4928
- **Practice address fax:** (706) 298-4929
- **Mailing address:** 205 VERNON STREET, LAGRANGE, GA 30240
- **Mailing address phone:** (706) 298-4928
- **Mailing address fax:** (706) 298-4929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE009938 | GA | Yes |

## Other

- **Enumeration date:** 07/03/2013
- **Last updated:** 07/15/2020