Fiesta Lifecare Pharmacy 4 Llc
Community/Retail Pharmacy
4202 Pioneer Rd, Balch Springs
Texas, 75180-3537
972-557-3535 972-557-4187
Fiesta Lifecare Pharmacy 4 Llc is a Community/Retail Pharmacy in Balch Springs, Texas. It is located at 4202 Pioneer Rd, Balch Springs and it's customer support contact number is 972-557-3535. The authorized person of Fiesta Lifecare Pharmacy 4 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 4 Llc is 31266 for Community/Retail Pharmacy in Texas.
Fiesta Lifecare Pharmacy 4 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 4 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 4 Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 4202 Pioneer Rd, Balch Springs,
Texas, 75180-3537 |
| Phone: | 972-557-3535 |
| Fax: | 972-557-4187 |
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: | 1356883821 |
| NPI Enumeration Date: | 15 Nov, 2016 |
| NPI Last Update On: | 19 Sep, 2025 |
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 4 Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 31266 | 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 |
| 2164063 | Other | | Pk |
| 149595 | Medicaid | Texas | |
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 631670,
Irving, Texas |
| Zip: | 75063 |
| Phone Number: | 210-881-0890 |
| Fax Number: | 210-564-6969 |
Patients can reach Fiesta Lifecare Pharmacy 4 Llc at
4202 Pioneer Rd, Balch Springs, Texas or can
call on customer care at 972-557-3535.
Comments/ Reviews:
Read all the reviews posted for Fiesta Lifecare Pharmacy 4 Llc below. You may also share your own experience with Fiesta Lifecare Pharmacy 4 Llc. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.