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Mirror Lake Drugs & Medical Services LLC

Community/Retail Pharmacy in Villa Rica, GA · enumerated 2020 · authorized official Chymar Ihekwereme, Pharmacist/ Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689272452

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Registry record

Entity type Organization (Type 2)
Legal business name Mirror Lake Drugs & Medical Services LLC
Other name <Unavail>
Practice address 895 Dallas Hwy, Villa Rica, GA, 30180
Phone (770) 462-1152
Fax (770) 462-1154
Enumeration date Oct 14, 2020
Last updated in NPPES Mar 27, 2026

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Chymar Ihekwereme
Title Pharmacist/ Chief Executive Officer
Phone (770) 462-1152

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Mirror Lake Drugs & Medical Services LLC located?
The practice location on file with NPPES is in Villa Rica, GA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-03-27. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-27.