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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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