NPI | 1750873535 |
---|---|
Doing Business As | LIBERTY PHARMACY INC |
Entity Type | Organization |
Authorized Contact | GOERGE ESHO Pre Sident 313-841-1990 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301006438) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-06-06 |
Last Update Date | 2018-06-06 |