Healthcare Provider Details

I. General information

NPI: 1518035971
Provider Name (Legal Business Name): YUE LIU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MUIR RD H1C50
MARTINEZ CA
94553-4614
US

IV. Provider business mailing address

111 CLEAVELAND RD APT. 53
PLEASANT HILL CA
94523-3873
US

V. Phone/Fax

Practice location:
  • Phone: 925-313-4554
  • Fax: 925-372-1229
Mailing address:
  • Phone: 925-313-4554
  • Fax: 925-372-1229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58598
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: