Provider Demographics
NPI:1306445374
Name:KREUTZER, LIZA PIROFSKY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:PIROFSKY
Last Name:KREUTZER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:LIZA
Other - Middle Name:ANNE
Other - Last Name:PIROFSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:222 DOE RUN CT
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-4500
Mailing Address - Country:US
Mailing Address - Phone:334-328-9571
Mailing Address - Fax:
Practice Address - Street 1:545 COTTON GIN RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-3552
Practice Address - Country:US
Practice Address - Phone:334-396-9466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-21
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL203301835P0018X
GARPH0286621835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist