Organization
LIFECARE PHARMACY OF DENVER CITY INC
Active
Other names
Liberty Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI (PHARMACIST)
(917) 769-8014
Entity
Organization
Contact information
Practice address
403 MUSTANG DR, DENVER CITY, TX 79323-2749
(806) 592-2765
(806) 592-8689
Mailing address
403 MUSTANG AVE, DENVER CITY, TX 79323-2749
(806) 592-2765
(806) 592-8689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
29152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143623
—
TX
01
—
2155285
PK
—
Enumeration date
11/19/2015
Last updated
12/18/2025
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