Fiesta Pharmacy

NPI #1891837720 in Dallas, Texas

Provider Information

NPI Number
1891837720
Entity Type
Organization
Organization Name
Fiesta Pharmacy
Primary Specialty
Pharmacist
Enumeration Date
Feb 14, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
6190 LYNDON B JOHNSON FWY
Address 2
SUITE #600
City
Dallas
State
Texas
ZIP Code
75240-6344
Phone
(972) 866-0017

Authorized Official

Name
DR. PRINCE C NWAORGU
Title
PHARMACIST
Phone
(214) 275-8066

Specialties & Taxonomy Codes

Specialty
Pharmacist

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