Healthcare Provider Details

I. General information

NPI: 1669078531
Provider Name (Legal Business Name): KRISTY LIU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 MISSION ST
SAN FRANCISCO CA
94110-2415
US

IV. Provider business mailing address

1698 S PALM AVE
PEMBROKE PINES FL
33025-5587
US

V. Phone/Fax

Practice location:
  • Phone: 415-826-3484
  • Fax:
Mailing address:
  • Phone: 954-885-8457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59348
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH87128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: