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Individual
MR. JEFFREY LIBERMAN
Active
Individual
MR. JEFFREY LIBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
018639
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00893792
—
NY
01
—
018639
NYS LISCENSE #
NY
01
—
1174520779
STORE NPI #
NY
01
—
3382835
STORE NABP #
NY
Enumeration date
08/13/2006
Last updated
03/07/2023
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