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

Mountainside Compounding LLC

Organization Compounding Pharmacy · NPI 1902526817

Mountainside Compounding LLC is a Compounding Pharmacy in Tate, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4875 Hwy 53 E Ste B
Tate, GA 30177
Phone: (678) 454-2323
Fax: (678) 454-2325
Show map & directions

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

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X

Record details

NPI number1902526817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dayna Timmer — Owner · (678) 454-2323
NPI enumeratedAugust 31, 2022
Last updated in NPPESAugust 31, 2022
Certification dateAugust 29, 2022
Mailing addressPo Box 254, Tate, GA 30177-0254