Provider Demographics
NPI:1437328226
Name:PRECISSI, FRANK PAUL (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:PAUL
Last Name:PRECISSI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 S MARIPOSA RD
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95205-7794
Mailing Address - Country:US
Mailing Address - Phone:209-464-7722
Mailing Address - Fax:209-464-7404
Practice Address - Street 1:2005 E MARIPOSA RD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95205-7735
Practice Address - Country:US
Practice Address - Phone:209-464-7722
Practice Address - Fax:209-464-7404
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist