Organization
LIBERTY PHARMACY, INC
Active
Other names
Liberty Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA H MAYS PHARMD (OWNER)
(931) 729-3541
Entity
Organization
Contact information
Practice address
146 E SWAN ST, CENTERVILLE, TN 37033-1446
(931) 729-2999
(931) 729-3393
Mailing address
PO BOX 258, CENTERVILLE, TN 37033-0258
(931) 729-2999
(931) 729-3393
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2322
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452938
—
TN
01
—
4427161
NCPDP
TN
Enumeration date
10/30/2006
Last updated
04/10/2025
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