Organization
LIBERTY FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY DALE KEITH JR. RPH MBA (PRESIDENT)
(336) 595-6979
Entity
Organization
Contact information
Practice address
430 N GREENSBORO ST, LIBERTY, NC 27298-0000
(336) 644-7288
(336) 644-7291
Mailing address
8500 US HIGHWAY 158, PO BOX 63, STOKESDALE, NC 27357-9248
(336) 644-7288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/22/2013
Last updated
07/28/2015
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