MCKENZIE MANSFIELD PHARMACY SERVICES LLC NPI 1073660478

NPI Information

  • NPI: 1073660478
  • Provider Name: MCKENZIE MANSFIELD PHARMACY SERVICES, LLC
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Address: 4825 ROCKBRIDGE RD
    SUITES 5 & 6
    STONE MOUNTAIN, GA
    ZIP 30083
  • Phone: (404) 297-3456

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NPI Details

MCKENZIE MANSFIELD PHARMACY SERVICES, LLC is a compounding pharmacy pharmacy in Stone Mountain, GA. The provider is 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 compounding practice. MCKENZIE MANSFIELD PHARMACY SERVICES, LLC NPI is 1073660478. The provider is registered as an organization entity type.

The provider's business location address is:

4825 ROCKBRIDGE RD
SUITES 5 & 6
STONE MOUNTAIN, GA
ZIP 30083-297
Phone: (404) 297-3456
Fax: (404) 297-4790

The provider's authorized official is Luis Harris .
The authorized official title is Pharmacist and has the following contact phone number (404) 297-3456.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE008733GEORGIANo
23336C0003XPharmacyCommunity/Retail PharmacyGEORGIANo
33336C0004XPharmacyCompounding PharmacyGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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