Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovation Compounding Pharmacy, LLC

Organization Pharmacy · NPI 1710157342

Innovation Compounding Pharmacy, LLC is a Pharmacy in Kennesaw, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3330 Chastain Meadows Pkwy NW Ste 100
Kennesaw, GA 30144
Phone: (800) 547-1399
Fax: (866) 635-2329
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Compounding Pharmacy Taxonomy 3336C0004X
Compounding Pharmacy Taxonomy 3336C0004X · Licence PHRE009149 (GA)

Record details

NPI number1710157342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bart Anderson — General Manager/Pharmacist-In-Charg · (800) 547-1399
Other names Innovation Compounding
NPI enumeratedMarch 11, 2008
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address3330 Chastain Meadows Pkwy Nw, Suite 100, Kennesaw, GA 30144

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