Organization
INNOVATIVE PHARMACY LLC
Active
Other names
INNOVATIVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADRIANA AMIN (OWNER)
(407) 923-2223
Entity
Organization
Contact information
Practice address
11356 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-9426
(407) 923-2223
Mailing address
22 BROADWAY, KISSIMMEE, FL 34741-5712
(407) 923-2223
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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