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Fiesta Lifecare Pharmacy 5 Llc
Community/Retail Pharmacy in Dallas, Texas
NPI 1104377332

Fiesta Lifecare Pharmacy 5 Llc is a Community/Retail Pharmacy based in Coppell, TX and is specialized in Community/Retail Pharmacy. Fiesta Lifecare Pharmacy 5 Llc practices in Dallas, TX. The NPI Number for Fiesta Lifecare Pharmacy 5 Llc is 1104377332 and holds a License No. (Texas).

The current practice location address for Fiesta Lifecare Pharmacy 5 Llc is 3230 Martin Luther King Jr Blvd, Dallas, TX and can be reached out via phone at 214-421-1067 and via fax at 214-426-7586.

Location: 3230 Martin Luther King Jr Blvd, Dallas, TX, 75019-5985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104377332
Provider Name
Fiesta Lifecare Pharmacy 5 Llc
Credential
Provider Entity Type
Organization
Address
3230 Martin Luther King Jr Blvd, Dallas, TX, 75019-5985
Phone Number
214-421-1067
Fax Number
214-426-7586
Provider Enumeration Date
10/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2164652 01 PK
149805 05 TX
institution
Provider Business Practice Location Address Details
Address
3230 Martin Luther King Jr Blvd
City
Dallas
State
Texas
Zip
75210-2417
Phone Number
214-421-1067
Fax Number
214-426-7586
person
Provider Business Mailing Address Details
Address
3230 Martin Luther King Jr Blvd
City
Dallas
State
Texas
Zip
75210-2417
Phone Number
214-421-1067
Fax Number
214-426-7586
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
31267 (Texas)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
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.
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