| NPI | 1275091373 |
|---|---|
| Doing Business As | PRIME LIBERTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HASMIK GEVSHENIAN CEO/CFO/Sec/Dir 818-465-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2021-07-15 |