30a Innovations,llc
NPI #1295169753 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1295169753
- Entity Type
- Organization
- Organization Name
- 30a Innovations,llc
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 2, 2013
- Last Updated
- Sep 2, 2013
Practice Location
- Address
- 3902 HARDY ST
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-1541
- Phone
- (601) 422-7813
Authorized Official
- Name
- MISS MICHELLE SCOGGIN
- Title
- PHARMACIST/CO-OWNER
- Phone
- (601) 422-7813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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