Provider Demographics
NPI:1720654569
Name:PEAN, ROPSPIERRE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROPSPIERRE
Middle Name:
Last Name:PEAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6005 DEL LAGO CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6302
Mailing Address - Country:US
Mailing Address - Phone:305-469-5463
Mailing Address - Fax:
Practice Address - Street 1:4010 SW 137TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-6464
Practice Address - Country:US
Practice Address - Phone:305-554-4549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist