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NPI Code Detail

MEDICARE: MRS. MELISSA ANN LIBERTO PHARMD

MEDICARE: MRS. MELISSA ANN LIBERTO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051-29117IL

General Provider Information

NPI Number : 1326165226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA ANN LIBERTO PHARMD
Provider Business Mailing Address
First Line : 9104 SYCAMORE DR
Second Line :
City : HICKORY HILLS
State : IL
Zip : 60457-1246
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14290 S LA GRANGE RD
Second Line :
City : ORLAND PARK
State : IL
Zip : 60462-2023
Country : US
Telephone Number : 708-403-2356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2007
Last Update Date : 12/26/2020

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