Organization
LIBERTY DISCOUNT DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE H ESHO (PRESIDENT)
(313) 554-3900
Entity
Organization
Contact information
Practice address
4802 W VERNOR HWY, DETROIT, MI 48209-2122
(313) 554-3900
(313) 841-6966
Mailing address
4802 W VERNOR HWY, DETROIT, MI 48209-2122
(313) 554-3900
(313) 841-6966
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
5301004586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1788281
—
MI
01
—
2341650
NCPDP
MI
Enumeration date
12/13/2006
Last updated
03/07/2023
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