Organization
COLE-MCGILL ENTERPRISES INC
Active
Other names
LIBERTY FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER TOOLE (SEC)
(864) 843-9207
Entity
Organization
Contact information
Practice address
115 W MAIN ST, LIBERTY, SC 29657-1140
(864) 843-9207
(864) 843-9208
Mailing address
PO BOX 63, LIBERTY, SC 29657-0063
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4400
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2088624
PK
—
05
—
744007
—
SC
Enumeration date
08/18/2006
Last updated
06/17/2016
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