Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOUNTAINSIDE COMPOUNDING LLC
Active OrganizationMOUNTAINSIDE COMPOUNDING LLC is a Clinic Pharmacy organization located in TATE, Georgia. NPI 1902526817 is currently active in the NPPES registry. Verify at CMS.
Clinic Pharmacy · TATE, GA
Registration Details
- NPI Number
- 1902526817
- Provider Type
- Organization
- NPI Issued
- Aug 31, 2022 (3.967707856138 yrs)
- Last Updated
- Aug 31, 2022
Practice Information
- Address
-
4875 HWY 53 ESUITE BTATE, GA, 30177Browse GA providers · Browse ZIP 30177
- Phone
- 6784542323
- Fax
- 6784542325
- Primary Specialty
-
Clinic Pharmacy
3336C0004X
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.