Liberty Medical Specialties Inc

LBN: Liberty Medical Specialties Inc
Liberty Medical Specialties Inc is an health care organization with primary practice located at 620 Jefferson St , Whiteville NC 28472. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Liberty Medical Specialties Inc can be contacted via phone (910) 642-3065, or through Owens, Tom via phone (910) 642-3009.

Contact Information

Primary practice address
620 Jefferson St Whiteville NC 28472
Phone: (910) 642-3065
Fax: (910) 642-3765
Website:
Map and Directions
Authorized official contact:
Name: Owens, Tom RPH
Phone: (910) 642-3009

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 04935 North Carolina

Profile Details

NPI number 1548368426
LBN Legal business name Liberty Medical Specialties Inc
DBA Doing business as
Authorized official Owens, Tom RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 6th, 2018 - 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 1548368426 NPPES
Other 2069875 PK
MEDICAID 0245654 PK

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