Organization
LIBERTY BAY HEALTH SOLUTIONS LLC
Active
Other names
MedOrganize
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON KNOTT RPH (OWNER/PIC)
(360) 930-8197
Entity
Organization
Contact information
Practice address
325 NE HOSTMARK ST STE B, POULSBO, WA 98370-6668
(360) 930-8197
(360) 626-1913
Mailing address
PO BOX 2850, POULSBO, WA 98370-2850
(360) 930-8197
(360) 626-1913
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHARCF60521167
WA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148781
PK
—
Enumeration date
11/17/2014
Last updated
02/23/2015
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