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Organization
LIFECARE PHARMACY OF DALLAS LLC
Active
Organization
LIFECARE PHARMACY OF DALLAS LLC
Active
Other names
Lifecare Pharmacy of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI (MANAGING MEMBER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
9709 BRUTON RD, STE 900, DALLAS, TX 75217-2704
(214) 942-7300
(214) 942-7302
Mailing address
9709 BRUTON RD, STE 900, DALLAS, TX 75217-2704
(214) 942-7300
(214) 942-7302
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
31263
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145589
—
TX
01
—
2162164
PK
—
Enumeration date
07/27/2016
Last updated
12/18/2025
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