Healthcare Provider Details

I. General information

NPI: 1457698300
Provider Name (Legal Business Name): AMY H LIU PHARM D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2013
Last Update Date: 01/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7060 W PALMETTO PARK RD
BOCA RATON FL
33433-3411
US

IV. Provider business mailing address

7060 W PALMETTO PARK RD
BOCA RATON FL
33433-3411
US

V. Phone/Fax

Practice location:
  • Phone: 561-338-4785
  • Fax: 561-338-9726
Mailing address:
  • Phone: 561-338-4785
  • Fax: 561-338-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS44264
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: