Liberty Medical Specialties INC
Pharmacy, Home Infusion Therapy Pharmacy in Wilmington, NC. Organization (NPI-2).
NPI number1710080296
StatusActive
Last updated in NPPESOct 3, 2011
Details
- NPI
- 1710080296
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Medical Specialties INC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2006
- Last updated
- Oct 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336H0001X | Pharmacy, Home Infusion Therapy Pharmacy | – | – | Yes |
Practice location
2224 S 17th StWilmington, NC 28401-7515
Phone 910-763-8229
Mailing address
Po Box 339Whiteville, NC 28472-0339
Phone 910-642-2250
Authorized official
Tamara Lynn Jones
Billing Manager
9106422250
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