Provider Demographics
NPI:1871774943
Name:PIERRE-LOUIS, MIRKE (RPH)
Entity type:Individual
Prefix:
First Name:MIRKE
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1154 CLARKSON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-2706
Mailing Address - Country:US
Mailing Address - Phone:718-345-6355
Mailing Address - Fax:718-385-9775
Practice Address - Street 1:1154 CLARKSON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-2706
Practice Address - Country:US
Practice Address - Phone:718-345-6355
Practice Address - Fax:718-385-9775
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist