Provider Demographics
NPI:1396989356
Name:PEIPER, BRIAN J (RPH)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:J
Last Name:PEIPER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44600 MONTEREY AVE
Mailing Address - Street 2:#209A
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3323
Mailing Address - Country:US
Mailing Address - Phone:760-285-0559
Mailing Address - Fax:
Practice Address - Street 1:44600 MONTEREY AVE
Practice Address - Street 2:#209A
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3323
Practice Address - Country:US
Practice Address - Phone:760-285-0559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS00176561835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist