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Organization
LIFECARE REUSS PHARMACY LLC
Active
Organization
LIFECARE REUSS PHARMACY LLC
Active
Other names
Reuss Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA KALIDINDI (MANAGING MEMBER)
(505) 268-2030
Entity
Organization
Contact information
Practice address
515 N ESPLANADE ST, CUERO, TX 77954-3603
(361) 275-3411
(361) 275-7383
Mailing address
7267 NOTRE DAME DR, IRVING, TX 75063-3523
(361) 275-3411
(361) 275-7383
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148469
—
TX
01
—
30017
PHARMACY LICENSE
TX
Enumeration date
04/01/2015
Last updated
04/15/2020
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