# WOODSTOCK PHARMACEUTICAL & COMPOUNDING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WOODSTOCK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184128290
- **Authorized official:** JONATHAN MARQUESS (PHARMACY OWNER)
- **Authorized official phone:** (770) 092-6647

## Contact information

- **Practice address:** 8612 MAIN ST, WOODSTOCK, GA 30188-4829
- **Practice address phone:** (678) 285-0760
- **Practice address fax:** (770) 971-0315
- **Mailing address:** 8612 MAIN ST, WOODSTOCK, GA 30188-4829
- **Mailing address phone:** (678) 285-0760
- **Mailing address fax:** (770) 971-0315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE007695 | GA | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2018
- **Last updated:** 09/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000178373A | — | GA |
| 01 | — | 2176507 | PK | — |