Healthcare Provider Details

I. General information

NPI: 1295336949
Provider Name (Legal Business Name): KIANA PIERCE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2020
Last Update Date: 03/29/2023
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 FORT EDDY RD
CONCORD NH
03301-7405
US

IV. Provider business mailing address

73 FORT EDDY RD
CONCORD NH
03301-7405
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-2121
  • Fax: 603-875-4310
Mailing address:
  • Phone: 603-228-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR69873
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHCY00885
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: