Individual
THANH LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1898 FORT RD, SHERIDAN, WY 82801-8320
(307) 675-3601
Mailing address
1898 FORT RD, SHERIDAN, WY 82801-8320
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0002006792
CO
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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