# INNOVATION PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Innovation RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194598060
- **Authorized official:** RAYMOND LIU (PIC)
- **Authorized official phone:** (949) 340-1700

## Contact information

- **Practice address:** 18102 IRVINE BLVD STE 102, TUSTIN, CA 92780-3423
- **Practice address phone:** (949) 340-1700
- **Practice address fax:** (949) 340-1699
- **Mailing address:** 18102 IRVINE BLVD STE 102, TUSTIN, CA 92780-3423
- **Mailing address phone:** (949) 340-1700
- **Mailing address fax:** (949) 340-1699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/02/2023
- **Last updated:** 11/02/2023