Provider Demographics
NPI:1275904567
Name:PIERUCCI, VALQUIRIA (RPH)
Entity Type:Individual
Prefix:
First Name:VALQUIRIA
Middle Name:
Last Name:PIERUCCI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 STAFFORD LN
Mailing Address - Street 2:
Mailing Address - City:DELTA
Mailing Address - State:CO
Mailing Address - Zip Code:81416-3465
Mailing Address - Country:US
Mailing Address - Phone:970-874-1782
Mailing Address - Fax:970-874-7785
Practice Address - Street 1:37 STAFFORD LN
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-3465
Practice Address - Country:US
Practice Address - Phone:970-874-1782
Practice Address - Fax:970-874-7785
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2020-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15236183500000X
CO0023039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist