Organization
MCKENZIE MANSFIELD PHARMACY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS HARRIS (PHARMACIST)
(404) 297-3456
Entity
Organization
Contact information
Practice address
4825 ROCKBRIDGE RD, SUITES 5 & 6, STONE MOUNTAIN, GA 30083-4297
(404) 297-3456
(404) 297-4790
Mailing address
4825 ROCKBRIDGE RD, SUITES 5 & 6, STONE MOUNTAIN, GA 30083-4297
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHRE008733
GA
3336C0003X
Community/Retail Pharmacy
—
GA
3336C0004X
Compounding Pharmacy
Primary
—
GA
Other
Enumeration date
01/05/2007
Last updated
09/11/2025
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