Provider Demographics
NPI:1831503978
Name:LIANG, VICTOR (RPH)
Entity type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:
Last Name:LIANG
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 MEDWAY ST
Mailing Address - Street 2:APT 1
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4437
Mailing Address - Country:US
Mailing Address - Phone:401-261-3846
Mailing Address - Fax:
Practice Address - Street 1:67 MEDWAY ST
Practice Address - Street 2:APT 1
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4437
Practice Address - Country:US
Practice Address - Phone:401-261-3846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH055417183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist