Samra Liaqat | Stockton, CA • PECOS Search

Samra Liaqat

Pharmacist

Pharmacy Service Providers

2364 Golden Bear Cir, Stockton, CA 95209-1765

PECOS Enrollment

Based on the most recent information from CMS, provider Samra Liaqat does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1811352305
Provider Type
Individual
Full Name
Liaqat, Samra
Gender
Female

Sole Proprietor
No
Enumeration Date
12/28/2015
Last Updated
12/28/2015

Contact Information

Practice Location

2364 Golden Bear Cir, Stockton, CA 95209-1765

Unlisted Fax

Mailing Location

2364 Golden Bear Cir, Stockton, CA 95209-1765

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 74081 California