Provider Demographics
NPI:1033237052
Name:LIU, ERNEST M (PHARMD)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:M
Last Name:LIU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1438
Mailing Address - Country:US
Mailing Address - Phone:951-735-4600
Mailing Address - Fax:951-284-4701
Practice Address - Street 1:221 E 3RD ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-1438
Practice Address - Country:US
Practice Address - Phone:951-735-4600
Practice Address - Fax:951-284-4701
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist