Organization
MIRROR LAKE DRUGS & MEDICAL SERVICES LLC
Active
Other names
MIRROR LAKE DRUGS, ROCKMART PHARMACY & MEDICAL SERVICES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHYMAR OKORIE IHEKWEREME RPH (PHARMACIST/ CHIEF EXECUTIVE OFFICER)
(770) 462-1152
Entity
Organization
Contact information
Practice address
895 DALLAS HWY, VILLA RICA, GA 30180-1237
(770) 462-1152
(770) 462-1154
Mailing address
895 DALLAS HWY, VILLA RICA, GA 30180-1237
(770) 462-1152
(770) 462-1154
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
03/27/2026
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