Provider Demographics
NPI:1447521828
Name:PEREZ, MARIEL CHRISTINA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MARIEL
Middle Name:CHRISTINA
Last Name:PEREZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 E US HIGHWAY 77
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-5232
Mailing Address - Country:US
Mailing Address - Phone:956-276-9783
Mailing Address - Fax:956-276-9955
Practice Address - Street 1:155 E US HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-5232
Practice Address - Country:US
Practice Address - Phone:956-276-9783
Practice Address - Fax:956-276-9955
Is Sole Proprietor?:No
Enumeration Date:2012-01-18
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist