MEDICARE: FRANK PAUL PRECISSI PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	53599	CA

General Provider Information

NPI Number	:	1437328226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK PAUL PRECISSI PHARMD

Provider Business Mailing Address
First Line	:	2005 S MARIPOSA RD
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95205-7794
Country	:	US
Telephone Number	:	209-464-7722
Fax Number	:	209-464-7404

Provider Business Practice Location Address
First Line	:	2005 E MARIPOSA RD
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95205-7735
Country	:	US
Telephone Number	:	209-464-7722
Fax Number	:	209-464-7404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	01/13/2023

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