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
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
03/11/2008
Last updated
07/30/2026
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