Provider Demographics
NPI:1336596105
Name:PIERRE-JEAN, EMMANUELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:EMMANUELLE
Middle Name:
Last Name:PIERRE-JEAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6172 N STATE ROAD 7
Mailing Address - Street 2:APT 106
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3654
Mailing Address - Country:US
Mailing Address - Phone:954-589-4950
Mailing Address - Fax:
Practice Address - Street 1:6750 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-4332
Practice Address - Country:US
Practice Address - Phone:954-589-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS50594183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist