Provider Demographics
NPI:1043807688
Name:CHAPERON, PIERRE JULIEN
Entity type:Individual
Prefix:
First Name:PIERRE
Middle Name:JULIEN
Last Name:CHAPERON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 770838
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-0838
Mailing Address - Country:US
Mailing Address - Phone:907-862-0770
Mailing Address - Fax:
Practice Address - Street 1:11432 BUSINESS BLVD STE 10
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7740
Practice Address - Country:US
Practice Address - Phone:907-694-7007
Practice Address - Fax:907-694-7051
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKPHAP1079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist