Provider Demographics
NPI:1538711163
Name:KIANG-LIU, NAOMI PI-JU (RPH)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:PI-JU
Last Name:KIANG-LIU
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6510 RED CEDAR WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-4413
Mailing Address - Country:US
Mailing Address - Phone:317-695-1199
Mailing Address - Fax:
Practice Address - Street 1:14575 MUNDY DR
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-7224
Practice Address - Country:US
Practice Address - Phone:317-770-5275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-13
Last Update Date:2019-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26017281183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist