Organization
FREEDOM PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WIERCIOCH (R.PH.)
(248) 722-8782
Entity
Organization
Contact information
Practice address
17330 FARMINGTON RD, LIVONIA, MI 48152-3158
(248) 722-8782
Mailing address
17330 FARMINGTON RD, LIVONIA, MI 48152-3158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5301011269
PHARMACY LICENSE
MI
Enumeration date
10/17/2017
Last updated
10/17/2017
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