Jerry N. Liliestedt, R.PH.

Pharmacist · North Canton, OH

Individual Active NPI

NPI number 1104130665

Practice location

7167 Keck Park Cir NW
North Canton, OH 44720-6301
Phone
(330) 498-5017

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NPI record

NPI
1104130665
Entity type
Individual (Type 1)
Enumeration date
July 27, 2010
Last updated
April 26, 2021
Certified
April 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 03124428 OH

About Jerry Liliestedt

Jerry N. Liliestedt, R.PH. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 7167 Keck Park Cir NW, North Canton, OH 44720-6301. The NPI number 1104130665 was assigned on July 27, 2010 and the record was last updated on April 26, 2021.

Jerry Liliestedt lists a license in the registry: #03124428 (OH) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry N. Liliestedt, R.PH.?

The NPI number is 1104130665.

What is the phone number of Jerry Liliestedt?

The phone number listed for the practice location is (330) 498-5017.

Where is Jerry Liliestedt located?

7167 Keck Park Cir NW, North Canton, OH 44720-6301.

What is the taxonomy code for Jerry Liliestedt?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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