Provider Demographics
NPI:1952714529
Name:ST.PIERRE, MONIQUE ASHLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:ASHLEY
Last Name:ST.PIERRE
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 1:92 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:STURBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:01566-2304
Mailing Address - Country:US
Mailing Address - Phone:508-344-9609
Mailing Address - Fax:
Practice Address - Street 1:92 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:STURBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01566-2304
Practice Address - Country:US
Practice Address - Phone:508-344-9609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPH234190OtherBOARD OF PHARMACY REGISTRATION NUMBER