FIESTA PHARMACY
Pharmacy at Buckner, Dallas, TX

License number
Texas 23914
Category
Pharmacy
Type
Pharmacist
Owner
Name: DR. PRINCE NWAORGU
Title: OWNER
Phone: (214) 275-8066
Address
Address
2947 S Buckner Blvd SUITE 500, Dallas, TX 75227
National Provider ID: 1083836613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIESTA PHARMACY, LLC

Dallas, TX  -  Richardson, TX

Industry:
Ret Drugs/Sundries
Doing business as:
Buckner Village Pharmacy<br>Fiesta Pharmacy, LLC<br>Fiesta Pharmacy
Registration:
Sep 9, 2004
Phone:
(214) 275-8066 (Phone)
Addresses:
2947 S Buckner Blvd STE 500, Dallas, TX 75227 (Mailing)
3252 Heatherbrook Ln, Richardson, TX 75082
State ID:
0800386994
Business type:
Domestic Limited Liability Company (LLC)
Members:
Elias Okonkwo (DIRECTOR, Owner, Director), 2636 Cantura Dr, Mesquite, TX 75181,Karen Johnson-Nwaorgu (Mbr),Prince C. Nwaorgu Mbr, Owner, Director , Member, inactive,...
TIN:
32015789822

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