Organization
MCKENZIE DRUGS & COMPOUNDING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL SMITH PHARM.D. (PHARMACIST/OWNER)
(770) 972-6050
Entity
Organization
Contact information
Practice address
4814 HWY 78 STE 10, LILBURN, GA 30047-4649
(770) 972-6050
(770) 972-6051
Mailing address
4814 HWY 78 STE 10, LILBURN, GA 30047-4649
(770) 972-6050
(770) 972-6051
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000157858A
—
GA
Enumeration date
10/27/2005
Last updated
11/21/2012
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