Provider Demographics
NPI:1881969723
Name:LIU, JIM K (PHARM-D)
Entity type:Individual
Prefix:DR
First Name:JIM
Middle Name:K
Last Name:LIU
Suffix:
Gender:M
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 1:3150 FOSTORIA WAY
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-5553
Mailing Address - Country:US
Mailing Address - Phone:925-277-1800
Mailing Address - Fax:925-277-1839
Practice Address - Street 1:3150 FOSTORIA WAY
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-5553
Practice Address - Country:US
Practice Address - Phone:925-277-1800
Practice Address - Fax:925-277-1839
Is Sole Proprietor?:No
Enumeration Date:2012-03-11
Last Update Date:2012-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist