Provider Demographics
NPI:1396261962
Name:PIENIAZEK, MONIKA TERESA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:TERESA
Last Name:PIENIAZEK
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 1:4929 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5714
Mailing Address - Country:US
Mailing Address - Phone:832-276-2415
Mailing Address - Fax:
Practice Address - Street 1:390 EDGEBROOK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-2102
Practice Address - Country:US
Practice Address - Phone:713-943-1810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist