Provider Demographics
NPI:1285072595
Name:LIBER, JOESPH M (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:JOESPH
Middle Name:M
Last Name:LIBER
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6748 GREEN RIVER DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80130-3023
Mailing Address - Country:US
Mailing Address - Phone:720-301-3236
Mailing Address - Fax:
Practice Address - Street 1:16910 E QUINCY AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2745
Practice Address - Country:US
Practice Address - Phone:303-680-3284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11910183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist