INNOVATION COMPOUNDING INC (Credential# 1121453) is licensed (Nonresident Pharmacy) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2019. The license expiration date date is August 31, 2020. The license status is ACTIVE.
INNOVATION COMPOUNDING INC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #PCN.0002393. The credential type is nonresident pharmacy. The effective date is September 1, 2019. The expiration date is August 31, 2020. The business address is 6095 Pine Mountain Rd Nw Ste 108, Kennesaw, GA 30152-3332. The current status is active.
Licensee Name | INNOVATION COMPOUNDING INC |
Business Name | INNOVATION COMPOUNDING INC |
Credential ID | 1121453 |
Credential Number | PCN.0002393 |
Credential Type | NONRESIDENT PHARMACY |
Business Address |
6095 Pine Mountain Rd Nw Ste 108 Kennesaw GA 30152-3332 |
Business Type | CORPORATION |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2012-10-31 |
Effective Date | 2019-09-01 |
Expiration Date | 2020-08-31 |
Refresh Date | 2019-07-09 |
Street Address | 6095 PINE MOUNTAIN RD NW STE 108 |
City | KENNESAW |
State | GA |
Zip Code | 30152-3332 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Lydia Agnes Josephs | 1300 Ridenour Blvd Suite 300, Kennesaw, GA 30152 | Physician/surgeon | 2020-04-27 ~ 2021-04-30 |
Natassha M Ahmed | 2268 Northbrook Ridge Nw, Kennesaw, GA 30152 | Registered Nurse | 2019-10-25 ~ 2020-08-31 |
Samantha Guiher | 1431 Pine Springs Dr Nw, Kennesaw, GA 30152 | Registered Nurse | 2019-10-10 ~ 2020-10-31 |
Michelle Marie Ammons | 3635 Davidson Farm Dr. Nw, Kennesaw, GA 30152 | Registered Nurse | 2018-01-17 ~ 2018-12-31 |
Meaghan Claire Hartmann | 1607 Marsanne Terrace, Kennesaw, GA 30152 | Registered Nurse | 2017-11-01 ~ 2018-11-30 |
Linda Michelle Finnerty | 2641 Laurel Ln Nw, Kennesaw, GA 30152 | Registered Nurse - Temporary | 2018-11-01 ~ 2019-03-01 |
Karen A Harmon | 2738 Allyn Way, Kennesaw, GA 30152 | Registered Nurse | 2017-06-01 ~ 2018-05-31 |
Lisa Wiredu-asante | 1777 Willow Branch Lane, Kennesaw, GA 30152 | Registered Nurse - Temporary | 2017-05-18 ~ 2017-09-14 |
Thomas J Burky | 6170 Due West Road, Kennesaw, GA 30152 | Heating, Piping & Cooling Limited Contractor | ~ |
Janet Beth C Leoni | 2158 Southbrook Ridge Nw, Kennesaw, GA 30152 | Real Estate Salesperson | 2006-06-01 ~ 2007-05-31 |
Find all Licenses in zip 30152 |
City | KENNESAW |
Zip Code | 30152 |
License Type | NONRESIDENT PHARMACY |
License Type + County | NONRESIDENT PHARMACY + KENNESAW |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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Hm Compounding | 558 Kennedy Blvd, Bayonne, NJ 07002-2620 | Nonresident Pharmacy | 2015-09-01 ~ 2016-08-31 |
Mcguff Compounding Pharmacy Svcs Inc | 2921 W Macarthur Blvd Suite 142, Santa Ana, CA 92704 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
P J 's Pharmacy and Compounding | 3405 Kenyon St Ste 107, San Diego, CA 92110-5004 | Nonresident Pharmacy | 2015-12-16 ~ 2016-08-31 |
Elite Compounding Pharmacy | 4911 Lyons Technology Pkwy Ste 7, Coconut Creek, FL 33073-4347 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Key Compounding Pharmacy | 530 S 336th St, Federal Way, WA 98003-6383 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Precise Compounding Pharmacy | 10844 Washington Blvd., Culver City, CA 90232 | Nonresident Pharmacy | 2017-09-01 ~ 2018-08-31 |
Compounding Docs Pharmacy | 1000 Clint Moore Rd, Boca Raton, FL 33487-2807 | Nonresident Pharmacy | 2019-09-01 ~ 2020-08-31 |
Campbells Compounding Pharmacy | 4760 Sweetwater Blvd Ste 103, Sugar Land, TX 77479-3173 | Nonresident Pharmacy | 2014-11-21 ~ 2015-08-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).