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Contact Information

LIBERTY MEDICAL SPECIALTIES INC
620 JEFFERSON ST
WHITEVILLE, NC28472
 Phone: 910-642-3065
 Fax: 910-642-3765
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LIBERTY MEDICAL SPECIALTIES INC

NPI Number 1548368426
LBN Legal business name LIBERTY MEDICAL SPECIALTIES INC
Authorized official TOM OWENS - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/21/2006
Last updated 06/06/2018 - About 8 years ago
Identifiers
NC License # 04935
NC Medicaid 0245654
Other 2069875 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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