Provider Demographics
NPI:1508839853
Name:PIERRON, NANCY B (RPH)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:B
Last Name:PIERRON
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 1:306 FORTUNE DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2124
Mailing Address - Country:US
Mailing Address - Phone:318-343-1730
Mailing Address - Fax:318-343-4335
Practice Address - Street 1:3426 CYPRESS ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7399
Practice Address - Country:US
Practice Address - Phone:318-397-3800
Practice Address - Fax:318-397-3608
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA9122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA9122OtherPHARMACIST LICENSE