Provider Demographics
NPI:1841832250
Name:LIU, YEN-CHUN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:YEN-CHUN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:1627 RIDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-3248
Mailing Address - Country:US
Mailing Address - Phone:626-588-8962
Mailing Address - Fax:
Practice Address - Street 1:1850 S AZUSA AVE STE 101
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6854
Practice Address - Country:US
Practice Address - Phone:626-225-3985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist