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Organization
P3 COMPOUNDING PHARMACY LLC
Active
Organization
P3 COMPOUNDING PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA TANYA TYNER PHARMD (PHARMACIST IN CHARGE)
(843) 455-2434
Entity
Organization
Contact information
Practice address
1140 HAMMOND DR, K-220, ATLANTA, GA 30328-5338
(404) 815-1610
Mailing address
1140 HAMMOND DR, K-220, ATLANTA, GA 30328-5338
(404) 815-1610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027610
GA
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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