Organization
WOODSTOCK PHARMACEUTICAL & COMPOUNDING CENTER INC
Active
Other names
WOODSTOCK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MARQUESS (PHARMACY OWNER)
(770) 092-6647
Entity
Organization
Contact information
Practice address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 285-0760
(770) 971-0315
Mailing address
8612 MAIN ST, WOODSTOCK, GA 30188-4829
(678) 285-0760
(770) 971-0315
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHRE007695
GA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000178373A
—
GA
01
—
2176507
PK
—
Enumeration date
03/22/2018
Last updated
09/19/2025
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