NPI 1063555704

Jill Liebers

Practitioner Pharmacist Roseville, MN

Practice location

Address: 2800 Cleveland Ave N, Roseville, MN 55113-1126
Phone: (651) 642-1825
Mailing address: 18579 Explorer Way, Farmington, MN 55024-7053

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 116434-3 (MN)

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Registry record

NPI: 1063555704
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.