IndividualActive
Kim Lieu
NPI 1659214948 · Compounded Sterile Preparations Pharmacist · Fort Worth, TX
Provider details
- NPI number
- 1659214948
- Entity type
- Individual
- Primary specialty
- Compounded Sterile Preparations PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 60157 (TX)
Practice location
5737 Diamond Valley Dr
Fort Worth, TX 76179-7606
Phone: (316) 573-3616
Mailing address
5737 Diamond Valley Dr
Fort Worth, TX 76179-7606
Registry dates
- Enumerated
- 2026-04-11
- Last updated
- 2026-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.