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Contact Information

INNOVATIONS LLC
3411 B CAPITAL MEDICAL BLVD
TALLAHASSEE, FL32308
 Phone: 850-201-0926
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for INNOVATIONS LLC

NPI # 1801937537
LBN Legal business name INNOVATIONS LLC
Authorized official LONNIE DRAPER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 07/03/2012 - About 14 years ago
Identifiers
FL License # ME59117
FL Medicaid 051720800
Other 1024683 NCPDP PROVIDER IDENTIFICATION NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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