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NPI Code Detail

MEDICARE: DR. M HERONNE C PIERRE-LOUIS PHARMACIST

MEDICARE: DR. M HERONNE C PIERRE-LOUIS PHARMACIST
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
1183500000XPharmacistPS45258FL

General Provider Information

NPI Number : 1801110382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. M HERONNE C PIERRE-LOUIS PHARMACIST
Provider Business Mailing Address
First Line : 21880 STATE ROAD 7
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2804
Country : US
Telephone Number : 561-470-0647
Fax Number : 561-470-5943
Provider Business Practice Location Address
First Line : 21880 STATE ROAD 7
Second Line :
City : BOCA RATON
State : FL
Zip : 33428-2804
Country : US
Telephone Number : 561-470-0647
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2010
Last Update Date : 02/08/2023

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