Healthcare Provider Details

I. General information

NPI: 1427439090
Provider Name (Legal Business Name): SINDY LIU PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28047 SCOTT RD
MURRIETA CA
92563-7428
US

IV. Provider business mailing address

38153 SHERWOOD ST
MURRIETA CA
92562-3431
US

V. Phone/Fax

Practice location:
  • Phone: 951-679-5328
  • Fax:
Mailing address:
  • Phone: 714-272-1992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number66455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: