Innovation Compounding Pharmacy, LLC

NPI #1710157342 in Kennesaw, Georgia

Provider Information

NPI Number
1710157342
Entity Type
Organization
Organization Name
Innovation Compounding Pharmacy, LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Mar 11, 2008
Last Updated
Jan 13, 2022

Practice Location

Address
6095 PINE MOUNTAIN RD NW
Address 2
STE 108
State
Georgia
ZIP Code
30152-3329
Phone
(770) 421-1399

Authorized Official

Name
DR. TRUMAN MITCHELL BELL III, PHARMD
Title
OWNER
Phone
(404) 626-1614

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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