Individual
IDY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
978 BOYLSTON ST, NEWTON, MA 02461-1504
(617) 244-0821
Mailing address
978 BOYLSTON ST, NEWTON, MA 02461-1504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26995
MA
Other
Enumeration date
06/30/2010
Last updated
12/09/2020
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