Provider Demographics
NPI:1134456056
Name:PIERSON, JAIME A (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:A
Last Name:PIERSON
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2995 DILLS RD
Mailing Address - Street 2:
Mailing Address - City:HIAWASSEE
Mailing Address - State:GA
Mailing Address - Zip Code:30546-5112
Mailing Address - Country:US
Mailing Address - Phone:706-835-9284
Mailing Address - Fax:
Practice Address - Street 1:230 CHATUGE WAY
Practice Address - Street 2:
Practice Address - City:HIAWASSEE
Practice Address - State:GA
Practice Address - Zip Code:30546-3438
Practice Address - Country:US
Practice Address - Phone:706-896-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH021969183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist