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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