Organization
LIBERTY REGIONAL MEDICAL CENTER
Active
Other names
LIBERTY REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK ROZIER (CFO)
(912) 369-9427
Entity
Organization
Contact information
Practice address
462 E G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9478
(800) 611-2089
Mailing address
462 E G MILES PKWY, HINESVILLE, GA 31313-4000
(912) 369-9478
(800) 611-2089
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
PHRE008347
GA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013760
PK
—
Enumeration date
07/17/2006
Last updated
11/21/2024
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