Provider Demographics
NPI:1821698424
Name:LIEU, LINH NGOC (PHARM D)
Entity Type:Individual
Prefix:
First Name:LINH
Middle Name:NGOC
Last Name:LIEU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 FM 518 RD
Mailing Address - Street 2:
Mailing Address - City:KEMAH
Mailing Address - State:TX
Mailing Address - Zip Code:77565-3219
Mailing Address - Country:US
Mailing Address - Phone:281-538-9978
Mailing Address - Fax:281-538-1889
Practice Address - Street 1:255 FM 518 RD
Practice Address - Street 2:
Practice Address - City:KEMAH
Practice Address - State:TX
Practice Address - Zip Code:77565-3219
Practice Address - Country:US
Practice Address - Phone:281-538-9978
Practice Address - Fax:281-538-1889
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX42661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist