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LIBERTY DISCOUNT DRUGS INC. NPI 1982765020


NPI Information

NPI: 1982765020
Provider Name: LIBERTY DISCOUNT DRUGS, INC.
Classification: Pharmacist - 1835G0303X
Entity Type: Organization

Specialization: Geriatric

Address:
4802 W VERNOR HWY
DETROIT, MI
ZIP 48209
Phone: (313) 554-3900
Get Directions

LIBERTY DISCOUNT DRUGS, INC. is a geriatric pharmacist in Detroit, MI. The provider is a pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. LIBERTY DISCOUNT DRUGS, INC. NPI is 1982765020. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4802 W VERNOR HWY
DETROIT, MI
ZIP 48209-122
Phone: (313) 554-3900
Fax: (313) 841-6966

The provider's authorized official is George H Esho .
The authorized official title is President and has the following contact phone number (313) 554-3900.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835G0303XPharmacistGeriatric5301004586MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12341650OTHERMICHIGANNCPDP
21788281MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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