Provider Demographics
NPI:1235479486
Name:PIERRE, MARYSE JEAN-LOUIS (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARYSE
Middle Name:JEAN-LOUIS
Last Name:PIERRE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15443 SW 35TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4745
Mailing Address - Country:US
Mailing Address - Phone:786-564-0979
Mailing Address - Fax:
Practice Address - Street 1:15443 SW 35TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-4745
Practice Address - Country:US
Practice Address - Phone:786-564-0979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS236841835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist