| NPI | 1710157342 |
|---|---|
| Doing Business As | INNOVATION COMPOUNDING |
| Entity Type | Organization |
| Authorized Contact | TRUMAN MITCHELL BELL Owner 404-626-1614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: GA PHRE009149) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2022-01-13 |