Provider Demographics
NPI:1790258960
Name:LIU, ESTHER ZHI (PHARMD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:ZHI
Last Name:LIU
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 1:5203 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-8941
Mailing Address - Country:US
Mailing Address - Phone:443-552-4760
Mailing Address - Fax:
Practice Address - Street 1:5203 SCENIC DR
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-8941
Practice Address - Country:US
Practice Address - Phone:443-552-4760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26206183500000X
VA0202217264183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD26206OtherMARYLAND BOARD OF PHARMACY