Provider Demographics
NPI:1164886271
Name:LIANG CURTNER, AGNES (PHARMD)
Entity Type:Individual
Prefix:
First Name:AGNES
Middle Name:
Last Name:LIANG CURTNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 DURSEY DR
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2663
Mailing Address - Country:US
Mailing Address - Phone:510-724-6809
Mailing Address - Fax:
Practice Address - Street 1:111 DURSEY DR
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2663
Practice Address - Country:US
Practice Address - Phone:510-724-6809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42234183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist