Fiesta Lifecare Pharmacy 4 LLC
NPI #1356883821 in Balch Springs, Texas
Provider Information
- NPI Number
- 1356883821
- Entity Type
- Organization
- Organization Name
- Fiesta Lifecare Pharmacy 4 LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Nov 15, 2016
- Last Updated
- Sep 19, 2025
Practice Location
- Address
- 4202 PIONEER RD
- City
- Balch Springs
- State
- Texas
- ZIP Code
- 75180-3537
- Phone
- (972) 557-3535
Authorized Official
- Name
- PREM KALIDINDI
- Title
- BOARD MEMBER
- Phone
- (917) 769-8014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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