Organization · Type 2 NPI

McKenzie Mansfield Pharmacy Services, LLC

Compounding Pharmacy · Stone Mountain, GA

NPI number 1073660478 Active

Practice location

4825 Rockbridge Rd, Suites 5 & 6
Stone Mountain, GA 30083-4297

Fax (404) 297-4790

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XPHRE008733 (GA)
Community/Retail Pharmacy 3336C0003XNone listed
Compounding Pharmacy Primary 3336C0004XNone listed

Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…

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About NPI 1073660478

McKenzie Mansfield Pharmacy Services, LLC's National Provider Identifier is 1073660478, issued on Jan 5, 2007. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Stone Mountain, GA. The record was last updated on Sep 11, 2025.