Individual
JEREMY LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(732) 853-9584
Mailing address
26 VILLAGE RD, KENDALL PARK, NJ 08824-1546
(732) 940-6606
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
28RI03988200
NJ
Other
Enumeration date
04/16/2019
Last updated
09/01/2020
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