Provider Demographics
NPI:1023468535
Name:LIE, ELIAS YING-MING (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ELIAS
Middle Name:YING-MING
Last Name:LIE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 HAMPSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2404
Mailing Address - Country:US
Mailing Address - Phone:603-870-9023
Mailing Address - Fax:603-870-9025
Practice Address - Street 1:5 HAMPSTEAD RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2404
Practice Address - Country:US
Practice Address - Phone:603-870-9023
Practice Address - Fax:603-870-9025
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHR1996183500000X
MAPH232722183500000X
RIRPH04520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist