Liberty Drug Store,inc.

NPI #1134290075 in Lawrenceburg, Tennessee

Provider Information

NPI Number
1134290075
Entity Type
Organization
Organization Name
Liberty Drug Store,inc.
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Nov 13, 2006
Last Updated
Sep 18, 2008

Practice Location

Address
1400 N LOCUST AVE
ZIP Code
38464-2210
Phone
(931) 762-6902

Authorized Official

Name
MR. MACK A. EVANS, D. PH.
Title
OWNER
Phone
(931) 762-6902

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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