Provider Demographics
NPI:1740257013
Name:PIERCE, MACHELLE T (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MACHELLE
Middle Name:T
Last Name:PIERCE
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 1:1557 AIKEN CHAFIN LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-4002
Mailing Address - Country:US
Mailing Address - Phone:770-957-6230
Mailing Address - Fax:
Practice Address - Street 1:1557 AIKEN CHAFIN LN
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-4002
Practice Address - Country:US
Practice Address - Phone:770-957-6230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-03
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist