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Innovation Compounding Pharmacy, Llc
Compounding Pharmacy in Kennesaw, Georgia
NPI 1710157342

Innovation Compounding Pharmacy, Llc is a Compounding Pharmacy based in Kennesaw, GA and is specialized in Compounding Pharmacy. Innovation Compounding Pharmacy, Llc practices in Kennesaw, GA. The NPI Number for Innovation Compounding Pharmacy, Llc is 1710157342 and holds a License No. PHRE009149 (Georgia).

The current practice location address for Innovation Compounding Pharmacy, Llc is 6095 Pine Mountain Rd Nw, Kennesaw, GA and can be reached out via phone at 770-421-1399.

Location: 6095 Pine Mountain Rd Nw, Kennesaw, GA, 30152-3329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710157342
Provider Name
Innovation Compounding Pharmacy, Llc
Credential
Provider Entity Type
Organization
Address
6095 Pine Mountain Rd Nw, Kennesaw, GA, 30152-3329
Phone Number
770-421-1399
Fax Number
Provider Enumeration Date
03/11/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
6095 Pine Mountain Rd Nw
City
Kennesaw
State
Georgia
Zip
30152-3329
Phone Number
770-421-1399
Fax Number
person
Provider Business Mailing Address Details
Address
6095 Pine Mountain Rd Nw
City
Kennesaw
State
Georgia
Zip
30152-3329
Phone Number
770-421-1399
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHRE009149 (Georgia)
Definition
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.
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