# WOODSTOCK PHARMACEUTICAL & COMPOUNDING CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679643332
- **Authorized official:** DR. JONATHAN GRIFFIN MARQUESS PHARMD, CDE,CDM (PRESIDENT)
- **Authorized official phone:** (770) 926-6478

## Contact information

- **Practice address:** 8612 MAIN ST, WOODSTOCK, GA 30188-4829
- **Practice address phone:** (770) 926-6478
- **Practice address fax:** (770) 531-7557
- **Mailing address:** 8612 MAIN ST, WOODSTOCK, GA 30188-4829
- **Mailing address phone:** (770) 926-6478
- **Mailing address fax:** (770) 531-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PHRE007695 | GA | Yes |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 12/10/2012
