IndividualActive
Ethan Liu, PHARMD
NPI 1467334136 · Pharmacist · Wpafb, OH
Provider details
- NPI number
- 1467334136
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH89761 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Phone: (209) 914-8125
Approximate (ZIP-level) locationGet directions
Mailing address
4881 Sugar Maple Dr
Wpafb, OH 45433-5529
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2026-02-27
- Certified
- 2026-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.