Healthcare Provider Details

I. General information

NPI: 1700162229
Provider Name (Legal Business Name): ANDREW LIU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 10/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5480 N UNIVERSITY DR
CORAL SPRINGS FL
33067-4603
US

IV. Provider business mailing address

10222 LONE STAR PL
DAVIE FL
33328-1341
US

V. Phone/Fax

Practice location:
  • Phone: 954-344-6405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS42970
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: