Provider Demographics
NPI:1790678399
Name:LIBERTY SCRIPTS CORP.
Entity type:Organization
Organization Name:LIBERTY SCRIPTS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AVRAHAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:SADIKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-543-2124
Mailing Address - Street 1:13512 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2355
Mailing Address - Country:US
Mailing Address - Phone:347-543-2124
Mailing Address - Fax:
Practice Address - Street 1:13512 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11419-2355
Practice Address - Country:US
Practice Address - Phone:347-543-2124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy