Organization
LIBERTY PHARMACY LLC
Active
Other names
LIBERTY MEDICINE CHEST
Organization subpart
No
Provider details
NPI number
Authorized official
JOE WEAVER (PRESIDENT)
(903) 885-0821
Entity
Organization
Contact information
Practice address
411 MAIN ST, SULPHUR SPRINGS, TX 75482-2762
(903) 885-0821
Mailing address
PO BOX 796, SULPHUR SPRINGS, TX 75483-0796
(903) 885-0821
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
25374
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2099789
PK
—
Enumeration date
03/23/2007
Last updated
08/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us