Healthcare Provider Details

I. General information

NPI: 1295213916
Provider Name (Legal Business Name): YING WU LIU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2018
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PULLMAN ST BLDG B
LIVERMORE CA
94551-9756
US

IV. Provider business mailing address

300 PULLMAN ST BLDG B
LIVERMORE CA
94551-9756
US

V. Phone/Fax

Practice location:
  • Phone: 925-294-7139
  • Fax:
Mailing address:
  • Phone: 925-294-7139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number76741
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: