Organization
LIBERTY PHARMACY, INC
Active
Other names
LIBERTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANNA ANDERSON (PHARMACY ADMINISTRATOR)
(818) 517-1627
Entity
Organization
Contact information
Practice address
7335 VAN NUYS BLVD #107, VAN NUYS, CA 91405-1951
(747) 998-5610
(747) 998-5611
Mailing address
7335 VAN NUYS BLVD STE 107, VAN NUYS, CA 91405-1951
(747) 998-5610
(747) 998-5611
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55275
CA
3336C0003X
Community/Retail Pharmacy
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—
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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