Individual
MARY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11080 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-7001
(225) 273-9397
Mailing address
11080 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-7001
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PST.022136
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.022136
LOUISIANA BOARD OF PHARMACY
LA
Enumeration date
08/27/2017
Last updated
08/27/2017
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