Last Updated: 12/5/2025 5:24:46 AM
Pharmacy
Detail
|
Corporation / Company Owner Name |
INNOVATION COMPOUNDING INC |
|
Business (DBA) Name |
INNOVATION COMPOUNDING |
|
License Number |
99-8374 |
|
Type of Pharmacy |
Non-Resident |
|
Address |
6095 PINE MOUNTAIN ROAD NW STE 108 |
|
City, State, Zip |
KENNESAW,
GA 30152 |
|
Country |
|
|
Issue Date |
02/15/2019 |
|
Renewed Date |
02/08/2021 |
|
Expiration Date |
02/28/2022 |
|
End Date |
12/21/2021 |
|
Replacing |
|
|
Replaced By |
|
|
Drug Supplier |
No |
|
Sterile Compounding |
No |
|
Training Area |
No |
|
Unused Drug Dispensing |
No |
|
LTC Emergency Kit |
No |
|
Pharmacist-In-Charge |
SHAWN HODGES - 18242 |
|
Status |
CLOSED |
|
In Process? |
|
|
|
|
|
|
|
Disciplinary Action
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that column.
|
No Disciplinary
Action |
|