P3 Compounding Pharmacy LLC

NPI #1104222629 in Atlanta, Georgia

Provider Information

NPI Number: 1104222629
Entity Type: Organization
Organization Name: P3 Compounding Pharmacy LLC
Primary Specialty: Pharmacist
Enumeration Date: Nov 11, 2014
Last Updated: Nov 11, 2014

Practice Location

Address: 1140 HAMMOND DR
Address 2: K-220
City: Atlanta
State: Georgia
ZIP Code: 30328-5338
Phone: (404) 815-1610

Authorized Official

Name: TRISTA TANYA TYNER, PHARMD
Title: PHARMACIST IN CHARGE
Phone: (843) 455-2434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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