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Contact Information

MORTAR AND PESTLE, LLC
1194 WARM SPRINGS HWY
MANCHESTER, GA31816
 Phone: 706-846-2002
 Fax: 706-846-2161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MORTAR AND PESTLE, LLC

NPI Number 1174980262
LBN Legal business name MORTAR AND PESTLE, LLC
Authorized official RYAN MEEKS - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/21/2016
Last updated 09/19/2025 - About 9 months ago
Identifiers
GA License # PHRE010202
GA Medicaid 000453384A
Other 2155789 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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