Fiesta Lifecare Pharmacy 1 Llc is not a DME supplier for medicare equipments and products.
Fiesta Lifecare Pharmacy 1 Llc is a Community/Retail Pharmacy in San Antonio, Texas. This pharmacy is owned and operated by Lifecare Pharmacy Medical Drive. It is located at 4458 Medical Dr Ste 115, San Antonio and it's customer support contact number is 214-351-0007. The authorized person of Fiesta Lifecare Pharmacy 1 Llc is Prem Kalidindi who is Board Member of the pharmacy and his contact number is 917-769-8014. Active license number of Fiesta Lifecare Pharmacy 1 Llc is 31269 for Community/Retail Pharmacy in Texas. Fiesta Lifecare Pharmacy 1 Llc is 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.
Pharmacy Details:
Fiesta Lifecare Pharmacy 1 Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Fiesta Lifecare Pharmacy 1 Llc
Type:
Community/Retail Pharmacy
Location:
4458 Medical Dr Ste 115, San Antonio, Texas, 78229-3700
Phone:
214-351-0007
Fax:
214-351-1750
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Prem Kalidindi
Position:
Board Member
Contact Number:
917-769-8014
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1669924569
NPI Enumeration Date:
27 Oct, 2016
NPI Last Update On:
19 Jul, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fiesta Lifecare Pharmacy 1 Llc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
31269
Texas
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
149592
Medicaid
Texas
2164571
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 12929, San Antonio, Texas
Zip:
78212-0929
Phone Number:
210-881-0890
Fax Number:
210-569-6464
Patients can reach Fiesta Lifecare Pharmacy 1 Llc at 4458 Medical Dr Ste 115, San Antonio, Texas or can call on customer care at 214-351-0007.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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