# MORTAR AND PESTLE, LLC

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

## Provider details

- **NPI number:** 1710490891
- **Authorized official:** RYAN MEEKS PHARMD (OWNER)
- **Authorized official phone:** (706) 298-2714

## Contact information

- **Practice address:** 1704 ROANOKE RD, LAGRANGE, GA 30240-3803
- **Practice address phone:** (706) 298-4935
- **Practice address fax:** (706) 298-4934
- **Mailing address:** 300 MOOTY BRIDGE RD STE 208, LAGRANGE, GA 30240-1881
- **Mailing address phone:** (706) 298-4935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE010403 | GA | Yes |

## Other

- **Enumeration date:** 11/10/2017
- **Last updated:** 07/15/2020