FIESTA LIFECARE PHARMACY 1, LLC
Pharmacy at Forest Ln, Dallas, TX

License number
Texas 29832
Category
Suppliers
Type
Pharmacy
Owner
Name: PREM KALIDINDI
Title: BOARD MEMBER
Phone: (210) 881-0890
Address
Address 2
3630 Forest Ln, Dallas, TX 75234
PO Box 631670, Irving, TX 75063
National Provider ID: 1669924569
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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