Liberty Drug Inc

LBN: Liberty Drug Inc
Liberty Drug Inc is an health care organization with primary practice located at 315 W Chickasha Ave , Chickasha OK 73018-2652. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Liberty Drug Inc can be contacted via phone (405) 224-1204, or through Neidy, Tobi via phone (405) 224-1204.

Contact Information

Primary practice address
315 W Chickasha Ave Chickasha OK 73018-2652
Phone: (405) 224-1204
Fax: (405) 224-1208
Website:
Map and Directions
Authorized official contact:
Name: Neidy, Tobi
Phone: (405) 224-1204

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 18-437 Oklahoma
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1477631984
LBN Legal business name Liberty Drug Inc
DBA Doing business as Liberty Drug Inc
Authorized official Neidy, Tobi
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 13th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477631984 NPPES
Other 2072556 PK
MEDICAID 100223170A PK

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