Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INNOVATION COMPOUNDING PHARMACY, LLC
Active OrganizationINNOVATION COMPOUNDING PHARMACY, LLC is a Clinic Pharmacy organization located in KENNESAW, Georgia. NPI 1710157342 is currently active in the NPPES registry. Verify at CMS.
Clinic Pharmacy · KENNESAW, GA
Registration Details
- NPI Number
- 1710157342
- Provider Type
- Organization
- NPI Issued
- Mar 11, 2008 (18.441676966571 yrs)
- Last Updated
- Jan 13, 2022
- License
-
PHRE009149 (GA)
Practice Information
- Address
-
6095 PINE MOUNTAIN RD NWSTE 108KENNESAW, GA, 301523329Browse GA providers · Browse ZIP 30152
- Phone
- 7704211399
- Primary Specialty
-
Clinic Pharmacy
3336C0004X
- Additional Specialty
- Clinic Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.