National Provider Identifier Database

MORTAR AND PESTLE LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MORTAR AND PESTLE, LLC
1194 WARM SPRINGS HWY
MANCHESTER, GA31816
Phone: 706-846-2002
Fax: 706-846-2161
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for MORTAR AND PESTLE, LLC

NPI Number 1174980262
Legal business name
LBN
MORTAR AND PESTLE, LLC
Authorized official RYAN MEEKS - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 01/21/2016
Last updated 09/19/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHRE010202
  • GA Medicaid: 000453384A
  • Other: 2155789 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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