Provider Demographics
NPI:1437471216
Name:PIERCE, JENNIFER BARBARA (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BARBARA
Last Name:PIERCE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 COONROD RD
Mailing Address - Street 2:
Mailing Address - City:WILLSBORO
Mailing Address - State:NY
Mailing Address - Zip Code:12996-3400
Mailing Address - Country:US
Mailing Address - Phone:518-963-4082
Mailing Address - Fax:
Practice Address - Street 1:112 NEW YORK ROAD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-562-3380
Practice Address - Fax:518-562-9751
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist