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Mountainside Compounding Llc
Compounding Pharmacy in Tate, Georgia
NPI 1902526817

Mountainside Compounding Llc is a Compounding Pharmacy based in Tate, GA and is specialized in Compounding Pharmacy. Mountainside Compounding Llc practices in Tate, GA. The NPI Number for Mountainside Compounding Llc is 1902526817 and holds a License No. (Georgia).

The current practice location address for Mountainside Compounding Llc is 4875 Hwy 53 E, Tate, GA and can be reached out via phone at 678-454-2323 and via fax at 678-454-2325.

Location: 4875 Hwy 53 E, Tate, GA, 30177-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902526817
Provider Name
Mountainside Compounding Llc
Credential
Provider Entity Type
Organization
Address
4875 Hwy 53 E, Tate, GA, 30177-0254
Phone Number
678-454-2323
Fax Number
678-454-2325
Provider Enumeration Date
08/31/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4875 Hwy 53 E
City
Tate
State
Georgia
Zip
30177
Phone Number
678-454-2323
Fax Number
678-454-2325
person
Provider Business Mailing Address Details
Address
4875 Hwy 53 E
City
Tate
State
Georgia
Zip
30177
Phone Number
678-454-2323
Fax Number
678-454-2325
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
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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