Organization
LIBERTY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON HENN (MGR)
(954) 543-2991
Entity
Organization
Contact information
Practice address
5443 N FEDERAL HWY, FT LAUDERDALE, FL 33308-3206
(954) 543-2991
Mailing address
5443 N FEDERAL HWY, FT LAUDERDALE, FL 33308-3206
(954) 543-2991
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25059
FL
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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