Healthcare Provider Details

I. General information

NPI: 1457918344
Provider Name (Legal Business Name): THANH LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2019
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 S SHERIDAN BLVD
DENVER CO
80227-5541
US

IV. Provider business mailing address

3100 S SHERIDAN BLVD
DENVER CO
80227-5541
US

V. Phone/Fax

Practice location:
  • Phone: 303-937-4404
  • Fax: 303-937-4431
Mailing address:
  • Phone: 303-937-4404
  • Fax: 303-937-4431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA.0022951
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: