Fiesta Lifecare Pharmacy 3 LLC
NPI #1174065643 in Galveston, Texas
Provider Information
- NPI Number
- 1174065643
- Entity Type
- Organization
- Organization Name
- Fiesta Lifecare Pharmacy 3 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 15, 2016
- Last Updated
- Dec 13, 2019
Practice Location
Authorized Official
- Name
- PREM KALIDINDI
- Title
- OFFICER
- Phone
- (917) 769-8014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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