| NPI | 1811014285 |
|---|---|
| Doing Business As | LIBERTY MEDICINE CHEST |
| Entity Type | Organization |
| Authorized Contact | JOE WEAVER President 903-885-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25374) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-08-23 |