# LIFECARE PHARMACY OF DENVER CITY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Liberty Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336513928
- **Authorized official:** PREM KALIDINDI (PHARMACIST)
- **Authorized official phone:** (917) 769-8014

## Contact information

- **Practice address:** 403 MUSTANG DR, DENVER CITY, TX 79323-2749
- **Practice address phone:** (806) 592-2765
- **Practice address fax:** (806) 592-8689
- **Mailing address:** 403 MUSTANG AVE, DENVER CITY, TX 79323-2749
- **Mailing address phone:** (806) 592-2765
- **Mailing address fax:** (806) 592-8689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |
| 3336L0003X | Long Term Care Pharmacy | 29152 | TX | — |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 12/18/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 143623 | — | TX |
| 01 | — | 2155285 | PK | — |