Provider Demographics
NPI:1255798898
Name:LIUFU, EN EN (PHARMD)
Entity type:Individual
Prefix:
First Name:EN EN
Middle Name:
Last Name:LIUFU
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:LIUFU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:12025 HUFFMEISTER RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3244
Mailing Address - Country:US
Mailing Address - Phone:917-226-9563
Mailing Address - Fax:
Practice Address - Street 1:12025 HUFFMEISTER RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-3244
Practice Address - Country:US
Practice Address - Phone:917-226-9563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist