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LIFECARE PHARMACY LTC LLC NPI 1588336937


NPI Information

NPI: 1588336937
Provider Name: LIFECARE PHARMACY LTC LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
6609 BLANCO RD STE 312
SAN ANTONIO, TX
ZIP 78216
Phone: (210) 881-0890
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LIFECARE PHARMACY LTC LLC is a long term care pharmacy pharmacy in San Antonio, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LIFECARE PHARMACY LTC LLC NPI is 1588336937. The provider is registered as an organization entity type.

The provider's business location address is:

6609 BLANCO RD STE 312
SAN ANTONIO, TX
ZIP 78216-179
Phone: (210) 881-0890

The provider's authorized official is Prem Kalidindi .
The authorized official title is Owner and has the following contact phone number (210) 881-0890.

The enumeration date for this NPI number is 10/4/2021 and was last updated on 10/4/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
23336L0003XPharmacyLong Term Care PharmacyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133956OTHERTEXASTEXAS STATE BOARD OF PHARMACY

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: 5/5/2024

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