| NPI | 1063817161 |
|---|---|
| Doing Business As | INNOVATIVE RX, LLC |
| Entity Type | Organization |
| Authorized Contact | AKRAM ABUMAHFOUZ Owner 317-531-4985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006415A) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |