Provider Demographics
NPI:1366042517
Name:PRESAS, ERICA D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:D
Last Name:PRESAS
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 1:3004 LAS COLINAS LN
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78574-1927
Mailing Address - Country:US
Mailing Address - Phone:956-279-0325
Mailing Address - Fax:
Practice Address - Street 1:7601 N 10TH ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-7737
Practice Address - Country:US
Practice Address - Phone:956-278-8833
Practice Address - Fax:956-278-8825
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41017183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist