Most Relevant Information
Provider Data
NPI Number: | 1003411067 |
Provider Name: | BO LIU |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | PS28301 |
Most Important Dates
Enumeration Date: | 11/30/2020 |
Last Updated: | 11/30/2020 |
Provider Practice Location
10952 E COLONIAL DR
ORLANDO
FL
328174531
Practice Location Phone/Fax
Phone: | 4072778781 |
Fax: | 4072779543 |
Provider Mailing Location
10952 E COLONIAL DR
ORLANDO
FL
328174531
Provider Mailing Phone/Fax
Phone: | 4072778781 |
Fax: | 4072779543 |