Healthcare Provider Details

I. General information

NPI: 1083547657
Provider Name (Legal Business Name): LIVRX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23810 MICHIGAN AVE STE 103
DEARBORN MI
48124-1826
US

IV. Provider business mailing address

22905 LAW ST
DEARBORN MI
48124-1010
US

V. Phone/Fax

Practice location:
  • Phone: 313-622-8888
  • Fax:
Mailing address:
  • Phone: 313-622-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. MAHER HASSAN BEYDOUN
Title or Position: OWNER
Credential: PHARMD
Phone: 313-622-8888