Healthcare Provider Details

I. General information

NPI: 1376459917
Provider Name (Legal Business Name): ANNA LIU PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 E MAIN ST
MERIDEN CT
06450-6008
US

IV. Provider business mailing address

2 BARBERRY LN
FARMINGTON CT
06032-3011
US

V. Phone/Fax

Practice location:
  • Phone: 203-235-6323
  • Fax:
Mailing address:
  • Phone: 917-969-9884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPCT.0016354
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: