Fiesta Lifecare Pharmacy 5 LLC
NPI #1104377332 in Dallas, Texas
Provider Information
- NPI Number
- 1104377332
- Entity Type
- Organization
- Organization Name
- Fiesta Lifecare Pharmacy 5 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 24, 2016
- Last Updated
- Jul 30, 2020
Practice Location
Authorized Official
- Name
- SIRISHA KANDI
- Title
- PHARMACIST OWNER
- Phone
- (972) 357-4477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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