MEDICARE: MARY LIU RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835X0200X	Oncology Pharmacist	54957	TX

General Provider Information

NPI Number	:	1710846258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LIU RPH

Provider Business Mailing Address
First Line	:	4633 SEABISCUIT ST
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4206
Country	:	US
Telephone Number	:	972-859-0541
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 WALNUT HILL LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-4402
Country	:	US
Telephone Number	:	214-345-7009
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ MARY LIU RPH” Practice Location

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