Provider Demographics
NPI:1770065641
Name:LIANG, MILLIE O CHAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MILLIE
Middle Name:O CHAN
Last Name:LIANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MILLIE
Other - Middle Name:CHAN
Other - Last Name:LIANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8318 FERGUSON AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-0902
Mailing Address - Country:US
Mailing Address - Phone:916-379-3228
Mailing Address - Fax:855-398-2862
Practice Address - Street 1:8318 FERGUSON AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-0902
Practice Address - Country:US
Practice Address - Phone:916-379-3228
Practice Address - Fax:855-398-2862
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH58342183500000X
CAAPH10328183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist