Provider Demographics
NPI:1629503560
Name:LEGER, ERICA NOELLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:NOELLE
Last Name:LEGER
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 1:7601 CHURCHILL WAY
Mailing Address - Street 2:533
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1906
Mailing Address - Country:US
Mailing Address - Phone:214-208-0293
Mailing Address - Fax:
Practice Address - Street 1:4343 SIGMA RD STE 400
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-4449
Practice Address - Country:US
Practice Address - Phone:855-313-7049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist