Healthcare Provider Details

I. General information

NPI: 1760252969
Provider Name (Legal Business Name): FRANK LIU PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 W KATHLEEN AVE
COEUR D ALENE ID
83815-8392
US

IV. Provider business mailing address

516 S MOORE LN
SPOKANE VALLEY WA
99037-7938
US

V. Phone/Fax

Practice location:
  • Phone: 280-665-4733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberP11135
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: