Organization30a Innovations,Llc(Freedom Pharmacy)PharmacySuppliersPractice Address3902 Hardy St, Hattiesburg, MS 39402-1541(601) 422-7813PECOS EnrollmentBased on the most recent information from CMS, provider 30a Innovations,Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1295169753Provider TypeOrganizationFull Name30a Innovations,LlcOther NameFreedom PharmacySubpartNoEnumeration Date9/2/2013Last Updated9/2/2013Contact InformationPractice LocationPractice Address3902 Hardy St, Hattiesburg, MS 39402-1541Phone(601) 422-7813FaxUnlisted FaxMailing LocationMailing AddressPO Box 16586, Hattiesburg, MS 39404-6586PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameScoggin, Michelle (Pharmacist/Co-Owner)Phone(601) 422-7813Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicenseUnlisted IssuerMississippi