Provider Demographics
NPI:1457628414
Name:PIEPER, ERNEST FREDRICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:FREDRICK
Last Name:PIEPER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1133 W SYCAMORE ST
Mailing Address - Street 2:ATTN: PHARMACY
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-2601
Mailing Address - Country:US
Mailing Address - Phone:530-934-1897
Mailing Address - Fax:530-934-1815
Practice Address - Street 1:1133 W SYCAMORE ST
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-2601
Practice Address - Country:US
Practice Address - Phone:530-934-1897
Practice Address - Fax:530-934-1815
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH29387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist