Livernois Express Pharmacy in Detroit - Compounding Pharmacy
Livernois Express Pharmacy - NPI 1417962028
Livernois Express Pharmacy is a Compounding Pharmacy in Detroit, Michigan. Livernois Express Pharmacy practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Livernois Express Pharmacy is 1417962028. The last update date is 2016-01-20.
Livernois Express Pharmacy's current location address is 15530 Puritan St, Detroit, Michigan. You can contact this provider via phone number 3136591622 and fax number 3136591621. The mailing address for Livernois Express Pharmacy is 15530 Puritan St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Livernois Express Pharmacy |
---|---|
Address | 15530 Puritan St, Detroit, Michigan |
Phone Number | 3136591622 |
Fax Number | 3136591621 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHARMACIST |
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Authorized Official Name | Duru C Oliver |
Credentials | RPH |
Telephone Number | 3136591622 |
NPI Number Detail
NPI Number | 1417962028 |
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Provider Enumeration Date | 2006-07-30 |
Last Updated Date | 2016-01-20 |
Provider Mailing Address Detail
Address | 15530 Puritan St |
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City | Detroit |
State | Michigan (MI) |
Post Code | 482272342 |
Phone Number | 3136591622 |
Fax Number | 3136591621 |
Provider's Primary Taxonomy Detail
Speciality | Compounding Pharmacy |
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Taxonomy | 3336C0004X |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2041990 | PK | ||
2367553 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Livernois Express Pharmacy by the Centers for Medicare & Medicaid Services?
The Livernois Express Pharmacy has been assigned the NPI (National Provider Identifier) 1417962028 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Livernois Express Pharmacy is physically located?
The Livernois Express Pharmacy is physically situated at the following address: 15530 Puritan St, Detroit, MI, 482272342.
What is Livernois Express Pharmacy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Livernois Express Pharmacy is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.
On what date was the 1417962028 assigned to Livernois Express Pharmacy?
The Livernois Express Pharmacy was issued its 1417962028 on 2006-07-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Livernois Express Pharmacy most recently updated or refreshed?
The details pertaining to the Livernois Express Pharmacy, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-20.
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