NPI:
1356883821
Provider Name:
FIESTA LIFECARE PHARMACY 4 LLC
Doing Business As: FIESTA LIFECARE PHARMACY 4, LLC
Classification:
Pharmacy - 3336C0003X
Entity Type:
Organization
Specialization: Community/Retail Pharmacy
Address:
4202 PIONEER RD
BALCH SPRINGS, TX
ZIP 75180
Phone:
(972) 557-3535
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FIESTA LIFECARE PHARMACY 4 LLC is a community/retail pharmacy pharmacy in Balch Springs, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FIESTA LIFECARE PHARMACY 4 LLC NPI is 1356883821. The provider is registered as an organization entity type.
The provider Is Doing Business As Fiesta Lifecare Pharmacy 4, Llc.
The provider's business location address is:
4202 PIONEER RD
BALCH SPRINGS, TX
ZIP 75180-537
Phone: (972) 557-3535
Fax: (972) 557-4187
The provider's authorized official is Prem Kalidindi .
The authorized official title is Board Member and has the following contact phone number (917) 769-8014.
The enumeration date for this NPI number is 11/15/2016 and was last updated on 7/27/2018.