Provider Demographics
NPI:1336740042
Name:LIU, DARWIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DARWIN
Middle Name:
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 1:2320 FALLS GABLE LN APT G
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5215
Mailing Address - Country:US
Mailing Address - Phone:410-684-4966
Mailing Address - Fax:
Practice Address - Street 1:8100 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8305
Practice Address - Country:US
Practice Address - Phone:410-821-6611
Practice Address - Fax:844-411-6327
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist