Provider Demographics
NPI:1114087400
Name:PIERRE, YOLENE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:YOLENE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:MARIE
Other - Middle Name:YOLENE
Other - Last Name:PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:27 PARK TER
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1142
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27 PARK TER
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1142
Practice Address - Country:US
Practice Address - Phone:914-441-5169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038828-11835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric