Organization · Type 2 NPI

Ksyrx

Community/Retail Pharmacy · Stone Mountain, GA

NPI number 1962823567 Active

Practice location

1525 E Park Place Blvd, Ste 500
Stone Mountain, GA 30087

Call (770) 696-9146 Map

Fax (470) 299-3159

Mailing address

PO Box 958277
Duluth, GA 30095-9539

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHHH000060 (GA)
Compounding Pharmacy	3336C0004X	None listed
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

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About NPI 1962823567

Ksyrx's National Provider Identifier is 1962823567, issued on Dec 27, 2013. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Stone Mountain, GA. The record was last updated on Aug 19, 2026.