Organization
LIBRTY FOR ALL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREPHENE BROWN (OWNER)
(754) 245-8883
Entity
Organization
Contact information
Practice address
3034 S JOG ROAD, LAKE WOTH, FL 33467-0000
(754) 245-8883
(954) 533-1042
Mailing address
3034 S JOG RD, GREENACRES, FL 33467-2004
(754) 245-8883
(954) 533-1042
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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