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Organization
INNOVATION COMPOUNDING PHARMACY, LLC
Active
Organization
INNOVATION COMPOUNDING PHARMACY, LLC
Active
Other names
Innovation Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
BART ZACHARY ANDERSON III PHARMD (GENERAL MANAGER/PHARMACIST-IN-CHARG)
(800) 547-1399
Entity
Organization
Contact information
Practice address
3330 CHASTAIN MEADOWS PKWY NW, SUITE 100, KENNESAW, GA 30144
(800) 547-1399
(866) 635-2329
Mailing address
3330 CHASTAIN MEADOWS PKWY NW, SUITE 100, KENNESAW, GA 30144
(800) 547-1399
(866) 635-2329
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
PHRE009149
GA
Other
Enumeration date
03/11/2008
Last updated
07/30/2026
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