FIESTA LIFECARE PHARMACY 5 LLC is a community/retail pharmacy pharmacy in Dallas, TX. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FIESTA LIFECARE PHARMACY 5 LLC NPI is 1104377332. The provider is registered as an organization entity type.
The provider Is Doing Business As Fiesta Lifecare Pharmacy 5 Llc.
The provider's business location address is:
3230 MARTIN LUTHER KING JR BLVD
DALLAS, TX
ZIP 75210-417
Phone: (214) 421-1067
Fax: (214) 426-7586
The provider's authorized official is Sirisha Kandi .
The authorized official title is Pharmacist Owner and has the following contact phone number (972) 357-4477.
The CLIA number assigned to this NPI record is 45D2209723 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/24/2016 and was last updated on 7/30/2020.