<Unavail>

LBN: Innovation Compounding Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 3330 Chastain Meadows Pkwy Nw Suite 100, Kennesaw GA 30144. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Innovation Compounding Pharmacy, Llc can be contacted via phone (800) 547-1399, or through Anderson, Bart Zachary via phone (800) 547-1399.

Contact Information

Primary practice address
3330 Chastain Meadows Pkwy Nw Suite 100 Kennesaw GA 30144
Phone: (800) 547-1399
Fax: (866) 635-2329
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Bart Zachary PHARMD
Phone: (800) 547-1399

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Compounding Pharmacy 3336C0004X PHRE009149 Georgia

Profile Details

NPI number 1710157342
LBN Legal business name Innovation Compounding Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Anderson, Bart Zachary PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Mar 11th, 2008
Last updated Jul 30th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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