Organization
LIBERTY DRUG STORE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MACK A. EVANS D. PH. (OWNER)
(931) 762-6902
Entity
Organization
Contact information
Practice address
1400 N LOCUST AVE, LAWRENCEBURG, TN 38464-2210
(931) 762-6902
(931) 762-1985
Mailing address
1400 N LOCUST AVE, LAWRENCEBURG, TN 38464-2210
(931) 762-6902
(931) 762-1985
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9441304
—
TN
Enumeration date
11/13/2006
Last updated
09/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us