Provider Demographics
NPI:1235539669
Name:LIU, YU (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YU
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:VIOLET
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3396 N STOCKTON HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409-1261
Mailing Address - Country:US
Mailing Address - Phone:928-692-0444
Mailing Address - Fax:
Practice Address - Street 1:3396 STOCKTON HILL RD
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409-3648
Practice Address - Country:US
Practice Address - Phone:928-692-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00007843183500000X
TX52721183500000X
AZS020340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist