Healthcare Provider Details

I. General information

NPI: 1063514891
Provider Name (Legal Business Name): MARGARETH LAROSE PIERRE PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARETH LAROSE PHARMACIST

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 NW 12TH AVE SUITE # 1126
MIAMI FL
33136-1051
US

IV. Provider business mailing address

1500 NW 12TH AVE SUITE # 1126
MIAMI FL
33136-1051
US

V. Phone/Fax

Practice location:
  • Phone: 305-325-2675
  • Fax: 305-325-3109
Mailing address:
  • Phone: 305-325-2675
  • Fax: 305-325-3109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number24038
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: