Provider Demographics
NPI:1205935954
Name:PIERINO, TERRI A (RPH)
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:A
Last Name:PIERINO
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 1:4777 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4772
Mailing Address - Country:US
Mailing Address - Phone:716-515-3290
Mailing Address - Fax:855-331-9020
Practice Address - Street 1:4777 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4772
Practice Address - Country:US
Practice Address - Phone:716-515-3290
Practice Address - Fax:855-331-9020
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041533183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist