Liberty Home Pharmacy Corporation
LBN: Liberty Home Pharmacy Corporation
Liberty Home Pharmacy Corporation is an health care organization with primary practice located at 8881 Liberty Ln , Port St Lucie FL 34952-3477. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty.
Liberty Home Pharmacy Corporation can be contacted via phone (877) 891-2545, or through Mark, Robert N via phone (772) 398-5800.
Contact Information
Primary practice address
8881 Liberty Ln
Port St Lucie FL 34952-3477
Phone: (877) 891-2545
Fax: (877) 891-2546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X |
Profile Details
| NPI number | 1730170663 |
|---|---|
| LBN Legal business name | Liberty Home Pharmacy Corporation |
| DBA Doing business as | |
| Authorized official | Mark, Robert N |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730170663 | NPPES |
| Colorado | MEDICAID | 73850080 | |
| Colorado | MEDICAID | 0001035416 | |
| Colorado | MEDICAID | 90002262 | |
| Colorado | MEDICAID | 514902 | |
| Colorado | MEDICAID | 51901902 | |
| Colorado | MEDICAID | 0548313 | |
| Colorado | MEDICAID | 1268330 | |
| Colorado | MEDICAID | MS383FL | |
| Colorado | MEDICAID | 00864432A |
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