Organization
LIFECARE PHARMACY LTC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI RPH (OWNER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
6609 BLANCO RD STE 312, SAN ANTONIO, TX 78216-6179
(210) 881-0890
(210) 569-6464
Mailing address
PO BOX 12929, SAN ANTONIO, TX 78212-0929
(210) 881-0890
(210) 569-6464
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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