Liberty Drug Store, Inc. in Liberty - Pharmacist
Liberty Drug Store, Inc. - NPI 1639124183
Liberty Drug Store, Inc. is a Pharmacist in Liberty, Mississippi. Liberty Drug Store, Inc. practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Liberty Drug Store, Inc. is 1639124183. The last update date is 2023-12-07.
Liberty Drug Store, Inc.'s current location address is Po Box 217, Liberty, Mississippi. You can contact this provider via phone number 6016578051 and fax number 6016578049. The mailing address for Liberty Drug Store, Inc. is Po Box 217, Liberty, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Liberty Drug Store, Inc. |
|---|---|
| Address | Po Box 217, Liberty, Mississippi |
| Phone Number | 6016578051 |
| Fax Number | 6016578049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Blalock Evans Ronald |
| Telephone Number | 6016578051 |
NPI Number Detail
| NPI Number | 1639124183 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | Po Box 217 |
|---|---|
| City | Liberty |
| State | Mississippi (MS) |
| Post Code | 396450217 |
| Phone Number | 6016578051 |
| Fax Number | 6016578049 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | T08879 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330466 | MS | -- | |
| 440833 | MS | -- |
Post Comment/ Review Below
What is the Liberty Drug Store, Inc.'s unique identification number?
The Liberty Drug Store, Inc. has been assigned the NPI (National Provider Identifier) Number 1639124183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Liberty Drug Store, Inc.?
The Liberty Drug Store, Inc. is situated at Po Box 217, in the city of Liberty, state of MS, with the zip code 396450217.
What is the Liberty Drug Store, Inc.'s area of specialization and corresponding taxonomy classification?
The Liberty Drug Store, Inc.'s specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1639124183 to Liberty Drug Store, Inc.?
The Liberty Drug Store, Inc. received its 1639124183 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the details related to Liberty Drug Store, Inc. most recently updated or revised?
The information pertaining to Liberty Drug Store, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2023-12-07.