LIBERTY COMPOUNDING PHARMACY, LLC – NPI #1144406703
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.

Health Care Provider Taxonomy Code for Pharmacy

LIBERTY COMPOUNDING PHARMACY, LLC is a pharmacy located in TEMPERANCE, MI. NPPES has assigned the NPI number 1144406703 to LIBERTY COMPOUNDING PHARMACY, LLC on January 14, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY COMPOUNDING PHARMACY, LLC below.

NPI Profile for
LIBERTY COMPOUNDING PHARMACY, LLC

NPI Number
1144406703
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBERTY COMPOUNDING PHARMACY, LLC
Primary location
7355 LEWIS AVE
SUITE D
TEMPERANCE, MI 48182
Phone: (734) 847-8888 Fax: (734) 847-8884
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY KIRK
OWNER
Phone: (734) 847-8888
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)		 MI 5301008780

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.