FIESTA LIFECARE PHARMACY 5, LLC
Pharmacy at Martin Luther King Jr Blvd, Dallas, TX

License number
Texas 27543
Category
Suppliers
Type
Pharmacy
Owner
Name: PREM KALIDINDI
Title: BOARD MEMBER
Phone: (917) 769-8014
Address
Address 2
3230 Martin Luther King Jr Blvd, Dallas, TX 75210
PO Box 631670, Irving, TX 75063
National Provider ID: 1104377332
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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