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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FIESTA LIFECARE PHARMACY 5 LLC

Active Organization

FIESTA LIFECARE PHARMACY 5 LLC is a Long-Term Care Pharmacy organization located in DALLAS, Texas. NPI 1104377332 is currently active in the NPPES registry. Verify at CMS.

Long-Term Care Pharmacy · DALLAS, TX

Registration Details

NPI Number
1104377332
Provider Type
Organization
NPI Issued
Oct 24, 2016 (9.7834990885133 yrs)
Last Updated
Jul 30, 2020
License
31267 (TX)

Practice Information

Address
3230 MARTIN LUTHER KING JR BLVD
DALLAS, TX, 752102417
Browse TX providers · Browse ZIP 75210
Phone
2144211067
Fax
2144267586
Primary Specialty
Long-Term Care Pharmacy
3336C0003X
Additional Specialty
Long-Term Care Pharmacy

Other Long-Term Care Pharmacy Organizations in DALLAS, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.