# 30A INNOVATIONS,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Freedom Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295169753
- **Authorized official:** MISS MICHELLE SCOGGIN (PHARMACIST/CO-OWNER)
- **Authorized official phone:** (601) 422-7813

## Contact information

- **Practice address:** 3902 HARDY ST, HATTIESBURG, MS 39402-1541
- **Practice address phone:** (601) 422-7813
- **Mailing address:** PO BOX 16586, HATTIESBURG, MS 39404-6586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | MS | Yes |

## Other

- **Enumeration date:** 09/02/2013
- **Last updated:** 09/02/2013