Healthcare Provider Details

I. General information

NPI: 1568848075
Provider Name (Legal Business Name): YING-LIANG LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2015
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2385 NASHVILLE RD
BOWLING GREEN KY
42101-4144
US

IV. Provider business mailing address

2385 NASHVILLE RD
BOWLING GREEN KY
42101-4144
US

V. Phone/Fax

Practice location:
  • Phone: 270-393-8979
  • Fax: 270-393-9859
Mailing address:
  • Phone: 270-393-8979
  • Fax: 270-393-9859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number018030
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: