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Organization

INNOVATIONS LLC

Active
Other names
AVOCARE
Organization subpart
No

Provider details

NPI number
Authorized official
LONNIE DRAPER MD (CEO)
(850) 201-0926
Entity
Organization

Contact information

Practice address
3411 B CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308
(850) 201-0926
Mailing address
3411 B CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308
(850) 201-0926

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
ME59117
FL
3336L0003X
Long Term Care Pharmacy
3336M0002X
Mail Order Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051720800
FL
01
1024683
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
02/08/2007
Last updated
07/03/2012
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