Provider Demographics
NPI:1497359665
Name:PIERCE, TRACY NEASE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:NEASE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4522 FREDERICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:BALCONES HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:78201-6521
Mailing Address - Country:US
Mailing Address - Phone:210-280-0001
Mailing Address - Fax:
Practice Address - Street 1:4522 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:BALCONES HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:78201-6521
Practice Address - Country:US
Practice Address - Phone:210-280-0001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-27
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50428183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist