Provider Demographics
NPI:1114343100
Name:PIAZZA, ROSICA STANILOVA (PST)
Entity Type:Individual
Prefix:
First Name:ROSICA
Middle Name:STANILOVA
Last Name:PIAZZA
Suffix:
Gender:F
Credentials:PST
Other - Prefix:
Other - First Name:ROSICA
Other - Middle Name:ANGELOVA
Other - Last Name:STANILOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2635
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 VETERANS MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2635
Practice Address - Country:US
Practice Address - Phone:504-335-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-14
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020324183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist