Liberty Medical, Llc

NPI 1285636704 - Pharmacy - 333600000X

NPI Details
NPI 1285636704
Enumeration Date 08/15/2005
Last Updated 12/03/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DAVID ANDREW DAVID
Position MANAGING MEMBER
Phone (540) 777-0000
Fax (540) 777-0015
Practice Location
2157 APPERSON DR
SALEM VA, 24153-7235, US
Phone (540) 777-0000
Fax (540) 777-0015
Business Location
8881 LIBERTY LN
ATTN: LICENSING
PORT SAINT LUCIE FL, 34952-3477, US
Phone (772) 398-5800
Fax (844) 363-4341
Toxanomy
Taxonomy Code 333600000X
License State Virginia
License Number 0201003080
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According to our database, Liberty Medical, Llc NPI is 1285636704, taxonomy code is 333600000X and license number is 0201003080, license state is located at Virginia. Liberty Medical, Llc physically located at 2157 Apperson Dr, Salem VA, 24153-7235. NPI Number 1033115704 has the healthcare provider type.

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1285636704 NPI number is provided on an as is basis without warranty of any kind. 1285636704 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Medical, Llc are for informational purposes only.