Organization
INNOVATION COMPOUNDING PHARMACY, LLC
Active
Other names
Innovation Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUMAN MITCHELL BELL III PHARMD (OWNER)
(404) 626-1614
Entity
Organization
Contact information
Practice address
6095 PINE MOUNTAIN RD NW, STE 108, KENNESAW, GA 30152-3329
(770) 421-1399
Mailing address
6095 PINE MOUNTAIN RD NW, STE 108, KENNESAW, GA 30152-3329
(770) 421-1399
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHRE009149
GA
3336C0004X
Compounding Pharmacy
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Other
Enumeration date
03/11/2008
Last updated
01/13/2022
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