Provider Demographics
NPI:1407025695
Name:PIERCE, ROGER A II (RPH)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:A
Last Name:PIERCE
Suffix:II
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3675 E BRITANNIA DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-5041
Mailing Address - Country:US
Mailing Address - Phone:520-209-3000
Mailing Address - Fax:520-209-3050
Practice Address - Street 1:3675 E BRITANNIA DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-5041
Practice Address - Country:US
Practice Address - Phone:520-209-3000
Practice Address - Fax:520-209-3050
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR3247183500000X
RIRPH02310183500000X
NH2118183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist