# LIBERTY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841516564
- **Authorized official:** ASHRAF ASHAMALLA R.PH (PHARMACIST/PRESIDENT)
- **Authorized official phone:** (201) 993-0978

## Contact information

- **Practice address:** 265 BROADWAY, BAYONNE, NJ 07002
- **Practice address phone:** (201) 436-7000
- **Practice address fax:** (201) 339-0999
- **Mailing address:** 265 BROADWAY, BAYONNE, NJ 07002
- **Mailing address phone:** (201) 436-7000
- **Mailing address fax:** (201) 339-0999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00702500 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/20/2010
- **Last updated:** 05/21/2021