NPI: 1265974737
Provider Name: WYCLIFF PHARMACY
Doing Business As: FIESTA LIFECARE PHARMACY 6, LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization
Specialization: Community/Retail Pharmacy
Address:
4309 LEMMON AVE
DALLAS, TX
ZIP 75219
Phone: (972) 227-2126
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WYCLIFF PHARMACY 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. WYCLIFF PHARMACY NPI is 1265974737. The provider is registered as an organization entity type.
The provider Is Doing Business As Fiesta Lifecare Pharmacy 6, Llc.
The provider's business location address is:
4309 LEMMON AVE
DALLAS, TX
ZIP 75219-706
Phone: (972) 227-2126
Fax: (972) 227-1678
The provider's authorized official is Prem Kalidindi .
The authorized official title is Board Member and has the following contact phone number (917) 769-8014.
The enumeration date for this NPI number is 11/15/2016 and was last updated on 7/19/2018.