Organization
I CARE PHARMACY LLC
Active
Other names
Liberty RX
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLL MARLING (COMPLIANCE OFFICER,AO)
(727) 303-3672
Entity
Organization
Contact information
Practice address
34064 US HIGHWAY 19 N, PALM HARBOR, FL 34684-2644
(727) 303-3672
(727) 255-5699
Mailing address
34064 US HIGHWAY 19 N, PALM HARBOR, FL 34684-2644
(727) 303-3672
(727) 255-5699
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2174375
PK
—
Enumeration date
08/30/2017
Last updated
07/19/2018
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