Innovation Compounding Pharmacy, Llc in Kennesaw - Compounding Pharmacy
Innovation Compounding Pharmacy, Llc - NPI 1710157342
Innovation Compounding Pharmacy, Llc is a Compounding Pharmacy in Kennesaw, Georgia. Innovation Compounding Pharmacy, Llc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Innovation Compounding Pharmacy, Llc is 1710157342. The last update date is 2022-01-13.
Innovation Compounding Pharmacy, Llc's current location address is 6095 Pine Mountain Rd Nw, Kennesaw, Georgia. You can contact this provider via phone number 7704211399. The mailing address for Innovation Compounding Pharmacy, Llc is 6095 Pine Mountain Rd Nw, Kennesaw, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovation Compounding Pharmacy, Llc |
|---|---|
| Address | 6095 Pine Mountain Rd Nw, Kennesaw, Georgia |
| Phone Number | 7704211399 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bell Mitchell Truman |
| Credentials | PHARMD |
| Telephone Number | 4046261614 |
NPI Number Detail
| NPI Number | 1710157342 |
|---|---|
| Provider Enumeration Date | 2008-03-11 |
| Last Updated Date | 2022-01-13 |
Provider Mailing Address Detail
| Address | 6095 Pine Mountain Rd Nw |
|---|---|
| City | Kennesaw |
| State | Georgia (GA) |
| Post Code | 301523329 |
| Phone Number | 7704211399 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
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 pract |
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What is the unique identification code assigned to Innovation Compounding Pharmacy, Llc by the Centers for Medicare & Medicaid Services?
The Innovation Compounding Pharmacy, Llc has been issued the NPI (National Provider Identifier) 1710157342. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Innovation Compounding Pharmacy, Llc is physically located?
The Innovation Compounding Pharmacy, Llc is physically situated at the following address: 6095 Pine Mountain Rd Nw, Kennesaw, GA, 301523329.
What is Innovation Compounding Pharmacy, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Innovation Compounding Pharmacy, Llc's area of specialization is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0004X.
When did the Innovation Compounding Pharmacy, Llc receive its 1710157342?
The Innovation Compounding Pharmacy, Llc was issued its 1710157342 on 2008-03-11, which is the date when the organization was assigned this unique identifier.
When was the information related to Innovation Compounding Pharmacy, Llc most recently updated or refreshed?
The details pertaining to the Innovation Compounding Pharmacy, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-13.
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