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
- City
- Lawrenceburg
- State
- Tennessee
- 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 Pharmacy — Community/Retail Pharmacy |
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