Individual
BO LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 WOODHAVEN PL, WEST SACRAMENTO, CA 95605-2571
(602) 515-9907
Mailing address
240 WOODHAVEN PL, WEST SACRAMENTO, CA 95605-2571
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69504
CA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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