Healthcare Provider Details

I. General information

NPI: 1134039605
Provider Name (Legal Business Name): KAYLIE PIERCE CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PRIMROSE LN
EAST BERLIN PA
17316-8505
US

IV. Provider business mailing address

32 TYLER DR
HANOVER PA
17331-7875
US

V. Phone/Fax

Practice location:
  • Phone: 717-259-6598
  • Fax: 717-259-5439
Mailing address:
  • Phone: 717-316-9647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License NumberPTE009877
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: