Liberty Clinic Pharmacy

LBN: Liberty Pharmacy Inc
Liberty Clinic Pharmacy is an health care organization with primary practice located at 146 E Swan St , Centerville TN 37033-1446. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Liberty Pharmacy Inc can be contacted via phone (931) 729-2999, or through Mays, Thomas Melvin via phone (931) 729-2999.

Contact Information

Primary practice address
146 E Swan St Centerville TN 37033-1446
Phone: (931) 729-2999
Fax: (931) 729-3393
Website:
Map and Directions
Authorized official contact:
Name: Mays, Thomas Melvin PHD
Phone: (931) 729-2999

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2322 Tennessee

Profile Details

NPI number 1134205479
LBN Legal business name Liberty Pharmacy Inc
DBA Doing business as Liberty Clinic Pharmacy
Authorized official Mays, Thomas Melvin PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2006
Last updated Jul 13th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134205479 NPPES
Tennessee MEDICAID 1452938

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