NPI | 1477631984 |
---|---|
Doing Business As | LIBERTY DRUG INC |
Entity Type | Organization |
Authorized Contact | TOBI NEIDY Manager 405-224-1204 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 18-437) |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-01-13 |