Organization
SCRIPTECH, LLC
Active
Other names
Stacy's Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCINTOSH (PRESIDENT)
(404) 876-3379
Entity
Organization
Contact information
Practice address
1953 PIEDMONT CIR NE, ATLANTA, GA 30324-4820
(404) 876-3379
Mailing address
1953 PIEDMONT CIR NE, ATLANTA, GA 30324-4820
(404) 876-3379
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHRE000096
GA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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