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LIFECARE PHARMACY OF DALLAS LLC NPI 1336692235


NPI Information

NPI: 1336692235
Provider Name: LIFECARE PHARMACY OF DALLAS LLC

Doing Business As: LIFECARE PHARMACY OF DALLAS

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
9709 BRUTON RD
STE 900
DALLAS, TX
ZIP 75217
Phone: (214) 942-7300
Get Directions

LIFECARE PHARMACY OF DALLAS LLC is a pharmacy in Dallas, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LIFECARE PHARMACY OF DALLAS LLC NPI is 1336692235. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifecare Pharmacy Of Dallas.

The provider's business location address is:

9709 BRUTON RD
STE 900
DALLAS, TX
ZIP 75217-704
Phone: (214) 942-7300
Fax: (214) 942-7302

The provider's authorized official is Prem Kalidindi .
The authorized official title is Managing Member and has the following contact phone number (917) 769-8014.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 4/10/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy31263TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1145589MEDICAIDTEXAS
22162164OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.