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LIBERTY PHARMACY INC
NPI 1750873535
Pharmacy - Long Term Care Pharmacy in Detroit, MI

Active since June 06, 2018
4802 W VERNOR HWY, DETROIT, MI 48209(313) 841-1990(313) 841-6966 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY PHARMACY INC (NPI 1750873535) is a healthcare organization registered as a long term care pharmacy in Detroit, Michigan and active in the NPI registry since June 2018. The organization lists Goerge Esho, President, as its authorized official.

NPPES Registry Identity

NPI1750873535
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLIBERTY PHARMACY INC
Location Address4802 W VERNOR HWYDetroit, MI 48209-2122
Mailing Address4802 W Vernor HwyDetroit, MI 48209-2122 · (313) 841-1990 · Fax (313) 841-6966
Phone(313) 841-1990
Fax(313) 841-6966
Organization SubpartNo
Authorized OfficialGoerge EshoPresident · (313) 841-1990
Enumeration DateJune 6, 2018
✔ NPI 1750873535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in MI · 5301006438
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
4802 W VERNOR HWY, Detroit, MI 48209
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Other Names 1

Doing Business AsLiberty Pharmacy Inc

Other Identifiers 2

Medicaid1326143603MI
Other2177576Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIBERTY PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
4802 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 841-1990
LIBERTY DISCOUNT DRUGS, INC.
Pharmacist (Geriatric)
4802 W VERNOR HWY
DETROIT, MI 48209
Wayne County (313) 554-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liberty Pharmacy Inc's NPI number?

The NPI number for Liberty Pharmacy Inc is 1750873535. It was assigned to this organization in the NPPES registry on June 6, 2018.

Where is Liberty Pharmacy Inc located?

Liberty Pharmacy Inc is located at 4802 W Vernor Hwy, Detroit, MI 48209. The listed phone number is (313) 841-1990.

What is Liberty Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Liberty Pharmacy Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 14 other insurers list Liberty Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liberty Pharmacy Inc was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.