Organization · Type 2 NPI
Mountainside Compounding LLC
Compounding Pharmacy · Tate, GA
Practice location
4875 Hwy 53 E, Suite B
Tate, GA 30177
Fax (678) 454-2325
Mailing address
PO Box 254
Tate, GA 30177-0254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X | None listed |
Compounding Pharmacy: 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 compoun…
Another provider at this address
About NPI 1902526817
Mountainside Compounding LLC's National Provider Identifier is 1902526817, issued on Aug 31, 2022. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Tate, GA. The record was last updated on Aug 31, 2022.