Liberty Pharmacy Inc.

NPI #1093075236 in South Richmond Hill, New York

Provider Information

NPI Number
1093075236
Entity Type
Organization
Organization Name
Liberty Pharmacy Inc.
Primary Specialty
Pharmacy
Enumeration Date
May 22, 2012
Last Updated
Jul 9, 2012

Practice Location

Address
12402A LIBERTY AVE
ZIP Code
11419-2232
Phone
(718) 738-1500

Authorized Official

Name
AYESHA FURQUAN
Title
PRESIDENT
Phone
(718) 738-1500

Specialties & Taxonomy Codes

Specialty
Pharmacy

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