Provider Demographics
NPI:1063514891
Name:PIERRE, MARGARETH LAROSE (PHARMACIST)
Entity type:Individual
Prefix:DR
First Name:MARGARETH
Middle Name:LAROSE
Last Name:PIERRE
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:DR
Other - First Name:MARGARETH
Other - Middle Name:
Other - Last Name:LAROSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:1500 NW 12TH AVE
Mailing Address - Street 2:SUITE # 1126
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1051
Mailing Address - Country:US
Mailing Address - Phone:305-325-2675
Mailing Address - Fax:305-325-3109
Practice Address - Street 1:1500 NW 12TH AVE
Practice Address - Street 2:SUITE # 1126
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1051
Practice Address - Country:US
Practice Address - Phone:305-325-2675
Practice Address - Fax:305-325-3109
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL240381835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy