Organization
INNOVATIONS LLC
Active
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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