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NPI Code Detail

MEDICARE: JEROME LIAO

MEDICARE: JEROME LIAO
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
1183500000XPharmacist19652NV

General Provider Information

NPI Number : 1821586819
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROME LIAO
Provider Business Mailing Address
First Line : 5065 PYRAMID WAY
Second Line :
City : SPARKS
State : NV
Zip : 89436-7703
Country : US
Telephone Number : 775-425-9331
Fax Number : 775-425-9333
Provider Business Practice Location Address
First Line : 5065 PYRAMID WAY
Second Line :
City : SPARKS
State : NV
Zip : 89436-7703
Country : US
Telephone Number : 775-425-9331
Fax Number : 775-425-9333
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 01/10/2026

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Directions to “ JEROME LIAO ” Practice Location

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