# MONFORT DRUG AND COMPOUNDING COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Monfort Drug and Compounding Company, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609197664
- **Authorized official:** ASHLEE SMITH (OWNER)
- **Authorized official phone:** (770) 963-2438

## Contact information

- **Practice address:** 470 N CLAYTON ST STE 101, LAWRENCEVILLE, GA 30046-4872
- **Practice address phone:** (770) 963-2438
- **Practice address fax:** (770) 963-0166
- **Mailing address:** 470 N CLAYTON ST, SUITE 101, LAWRENCEVILLE, GA 30046-4872
- **Mailing address phone:** (770) 963-2438
- **Mailing address fax:** (770) 963-0166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHRE005529 | GA | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/14/2010
- **Last updated:** 09/17/2010