Provider Demographics
NPI:1154736809
Name:LIU, ANNA S (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:S
Last Name:LIU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10430 TWIN CITIES RD
Mailing Address - Street 2:
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632-9032
Mailing Address - Country:US
Mailing Address - Phone:209-745-4881
Mailing Address - Fax:
Practice Address - Street 1:10430 TWIN CITIES RD
Practice Address - Street 2:
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632-9032
Practice Address - Country:US
Practice Address - Phone:209-745-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43080183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist