Provider Demographics
NPI:1598002768
Name:PIERRE-LOUIS, VANESSA (RPH, CPH)
Entity Type:Individual
Prefix:MISS
First Name:VANESSA
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:RPH, CPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17189 SW 64TH CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1703
Mailing Address - Country:US
Mailing Address - Phone:786-547-0418
Mailing Address - Fax:
Practice Address - Street 1:13250 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2040
Practice Address - Country:US
Practice Address - Phone:305-974-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2013-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48310183500000X
FLPU7180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist