Organization · Type 2 NPI

Innovation Compounding Pharmacy, LLC

Pharmacy · Kennesaw, GA

NPI number 1710157342 Active

Practice location

3330 Chastain Meadows Pkwy NW, Suite 100
Kennesaw, GA 30144

Fax (866) 635-2329

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed
Compounding Pharmacy 3336C0004XNone listed
Compounding Pharmacy 3336C0004XPHRE009149 (GA)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1710157342

Innovation Compounding Pharmacy, LLC's National Provider Identifier is 1710157342, issued on Mar 11, 2008. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Kennesaw, GA. The record was last updated on Jul 30, 2026.