MEDICARE: DR. MONIKA TERESA PIENIAZEK PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	61022	TX

General Provider Information

NPI Number	:	1396261962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONIKA TERESA PIENIAZEK PHARMD

Provider Business Mailing Address
First Line	:	4929 HOLLY ST
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-5714
Country	:	US
Telephone Number	:	832-276-2415
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 EDGEBROOK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77034-2102
Country	:	US
Telephone Number	:	713-943-1810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	08/16/2017

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