Innovative Medicine
Addiction Medicine
3554 Promenade Pkwy Ste H, Lafayette
Indiana, 47909-8418
765-471-1100 765-471-1009
Innovative Medicine is a Addiction Medicine in Lafayette, Indiana. It is located at 3554 Promenade Pkwy Ste H, Lafayette and it's customer support contact number is 765-471-1100. The authorized person of Innovative Medicine is Jacqueline Snyder who is Billing Manager of the pharmacy and his contact number is 765-413-7100.
Innovative Medicine is a family medicine physician who specializes in the diagnosis and treatment of addictions.
Pharmacy Details:
Innovative Medicine type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Innovative Medicine |
| Type: | Addiction Medicine |
| Location: | 3554 Promenade Pkwy Ste H, Lafayette,
Indiana, 47909-8418 |
| Phone: | 765-471-1100 |
| Fax: | 765-471-1009 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jacqueline Snyder |
| Position: | Billing Manager |
| Contact Number: | 765-413-7100 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417486523 |
| NPI Enumeration Date: | 12 Jun, 2017 |
| NPI Last Update On: | 18 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Medicine are as mentioned below.
| Specialization | License Number | State | Status | |
| Addiction Medicine | | | Primary | |
| Non-pharmacy Dispensing Site | | | Secondary | |
| Adult Medicine | | | Secondary | |
| Obesity Medicine | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1720219702 | Other | Indiana | Melissa Galbreth Lmhc |
| 1144372863 | Other | Indiana | Robert Charles Turner Md |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3554 Promenade Pkwy Ste H,
Lafayette, Indiana |
| Zip: | 47909-8418 |
| Phone Number: | 765-471-1100 |
| Fax Number: | 765-471-1009 |
Patients can reach Innovative Medicine at
3554 Promenade Pkwy Ste H, Lafayette, Indiana or can
call on customer care at 765-471-1100.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.