Provider Demographics
NPI:1174336697
Name:PIERCE, ASHA NICHOLE (PHARMD)
Entity type:Individual
Prefix:
First Name:ASHA
Middle Name:NICHOLE
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13426 ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-3258
Mailing Address - Country:US
Mailing Address - Phone:225-931-4499
Mailing Address - Fax:
Practice Address - Street 1:7777 BLUEBONNET BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2209
Practice Address - Country:US
Practice Address - Phone:225-766-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.025635183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist