Organization
FIESTA LIFECARE PHARMACY 8 LLC
Active
Organization
FIESTA LIFECARE PHARMACY 8 LLC
Active
Other names
Lifecare Pharmcy Freer
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI (MANAGER/OWNER)
(917) 769-8014
Entity
Organization
Contact information
Practice address
412 E RILEY ST, FREER, TX 75063
(361) 394-5151
Mailing address
PO BOX 12929, SAN ANTONIO, TX 78212-0929
(917) 769-8014
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up