LIBERTY COMPOUNDING PHARMACY, LLC (NPI# 1144406703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144406703 |
Entity Type | Organization |
Organization Name | LIBERTY COMPOUNDING PHARMACY, LLC |
Practice Address |
7355 Lewis Ave Suite D Temperance MI 48182 |
Practice Telephone | 7348478888 |
Practice Fax Number | 7348478884 |
Mailing Telephone | 7348478888 |
Mailing Fax Number | 7348478884 |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-01-14 |
Authorized Official Name | MR. TIMOTHY J KIRK (OWNER) |
Authorized Official Telephone | 7348478888 |
Authorized Official Credential | R.PH. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
5301008780 | MI | Suppliers |
Street Address |
7355 LEWIS AVE SUITE D |
City | TEMPERANCE |
State | MI |
Zip Code | 48182 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124473814 | Body Bliss LLC | Community Health Worker | 7355 Lewis Ave, Suite B, Temperance, MI 48182-1465 | 2016-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982186771 | Ruben J Loo | Physical Therapist | 2000 W. Dean Road, Temperance, MI 48182 | 2018-08-29 |
1356881460 | Chelsea Engler | Licensed Practical Nurse | 22230 Camille, Temperance, MI 48182 | 2017-03-08 |
1801252291 | Charles Dean Tabbert | Nurse Anesthetist, Certified Registered | 3661 Saint Anthony Rd, Temperance, MI 48182 | 2016-01-14 |
1023360229 | Tamara Ruth Ciha | Technician, Other | 1070 North Park Dr, Temperance, MI 48182 | 2012-10-11 |
1356651004 | Meghanne Denise Decant | Registered Nurse | 2128 W Rauch Rd, Temperance, MI 48182 | 2010-10-15 |
1639325202 | Joanne Marie Segura | Licensed Practical Nurse | 6711 Summerfield, Temperance, MI 48182 | 2008-08-14 |
1952564775 | Kaye Cecelia Shepherd | Home Health Aide | 3346 St Anthony Road, Temperance, MI 48182 | 2008-07-02 |
1467638494 | Aspen Ridge, LLC | Skilled Nursing Facility | 951 Hickory Creek Blvd., Temperance, MI 48182 | 2008-01-22 |
1760698724 | Rebecca Ann Pasko | Counselor | 9035 Lewis Ave, Temperance, MI 48182 | 2007-05-15 |
1184783151 | Laura L Long | Dietitian, Registered | 8765 Lewis Avenue, Temperance, MI 48182 | 2006-12-06 |
Find all providers in zip 48182 |
Taxonomy Code | 3336C0004X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Compounding Pharmacy |
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 practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962818625 | Ags Holding LLC | Pharmacy | 8926 Lewis Ave, Temperance, MI 48182-1607 | 2014-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306457908 | Mills Compounding Pharmacy, LLC | Pharmacy | 1744 W Maple Rd Ste B, Birmingham, MI 48009-1545 | 2020-08-17 |
1043859457 | Midwest Compounding LLC | Pharmacy | 25306 W Warren St, Dearborn Heights, MI 48127-2102 | 2020-01-02 |
1114570504 | Advance Care Rx Pharmacy | Pharmacy | 12097 Conant St, Hamtramck, MI 48212-2716 | 2019-07-24 |
1811550536 | Good Med Pharmacy, LLC | Pharmacy | 2900 Golfside Dr Ste 3, Ann Arbor, MI 48108-1410 | 2019-04-18 |
1457815151 | Apothecary & Co LLC | Pharmacy | 51 S Washington St Ste D, Oxford, MI 48371-6418 | 2019-01-27 |
1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
1588010334 | Select Care Pharmacy LLC | Pharmacy | 28003 John R Rd, Madison Heights, MI 48071-2809 | 2016-05-11 |
1669843488 | Discount Drugs LLC | Pharmacy | 19145 Allen Rd Ste 105, Brownstown Twp, MI 48183-6812 | 2015-10-20 |
1073981957 | Creative Compounding Center, Inc. | Pharmacy | 631 N Van Dyke Rd, Imlay City, MI 48444-1181 | 2015-09-09 |
1780078428 | Carewell Pharmacy LLC | Pharmacy | 41940 Hayes Rd, Clinton Township, MI 48038-5841 | 2015-03-19 |
Find all providers with the same taxonomy |
City | TEMPERANCE |
Zip Code | 48182 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.