Fiesta Pharmacy

NPI #1083836613 in Dallas, Texas

Provider Information

NPI Number: 1083836613
Entity Type: Organization
Organization Name: Fiesta Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2947 S BUCKNER SUITE 500
City: Dallas
State: Texas
ZIP Code: 75227
Phone: (214) 275-8066

Authorized Official

Name: DR. PRINCE NWAORGU
Title: OWNER
Phone: (214) 275-8066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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