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Organization

LIBERTY COMPOUNDING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS VENTURA (HEAD OF PHARMACY)
(602) 705-6631
Entity
Organization

Contact information

Practice address
1000 PARK CENTRE BLVD STE 136, MIAMI, FL 33169-5373
(602) 705-6631
Mailing address
1000 PARK CENTRE BLVD STE 136, MIAMI, FL 33169-5373

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary

Other

Enumeration date
12/22/2025
Last updated
12/22/2025
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