Provider Demographics
NPI:1891398483
Name:PIERRE, ERIKA CARMELLE
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:CARMELLE
Last Name:PIERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2818
Mailing Address - Country:US
Mailing Address - Phone:973-678-7021
Mailing Address - Fax:973-678-3792
Practice Address - Street 1:317 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2818
Practice Address - Country:US
Practice Address - Phone:973-678-7021
Practice Address - Fax:973-678-3792
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03983900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist