Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirror Lake Drugs & Medical Services LLC

Organization Community/Retail Pharmacy · NPI 1689272452

Mirror Lake Drugs & Medical Services LLC is a Community/Retail Pharmacy in Villa Rica, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

895 Dallas Hwy
Villa Rica, GA 30180-1237
Phone: (770) 462-1152
Fax: (770) 462-1154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1689272452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chymar Ihekwereme — Pharmacist/ Chief Executive Officer · (770) 462-1152
Other names Mirror Lake Drugs; Rockmart Pharmacy & Medical Services Llc; Rockmart Pharmacy & Medical Services Llc
NPI enumeratedOctober 14, 2020
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address895 Dallas Hwy, Villa Rica, GA 30180-1237

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