Organization
LIBERTY COMPOUNDING PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY J KIRK R.PH. (OWNER)
(734) 847-8888
Entity
Organization
Contact information
Practice address
7355 LEWIS AVE, SUITE D, TEMPERANCE, MI 48182
(734) 847-8888
(734) 847-8884
Mailing address
7355 LEWIS AVE, SUITE D, TEMPERANCE, MI 48182
(734) 847-8888
(734) 847-8884
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
5301008780
MI
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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