Healthcare Provider Details

I. General information

NPI: 1649189051
Provider Name (Legal Business Name): LIBERTY DRUG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 W 3RD ST
WILBER NE
68465-3143
US

IV. Provider business mailing address

124 W 3RD ST
WILBER NE
68465-3143
US

V. Phone/Fax

Practice location:
  • Phone: 402-821-2834
  • Fax: 402-821-2901
Mailing address:
  • Phone: 402-821-2834
  • Fax: 402-821-2901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NATHAN LIBERTY
Title or Position: OWNER
Credential: PHARMD
Phone: 402-335-7602