Organization
LIFECARE PHARMACY OF VICTORIA INC
Active
Other names
Harding and Parker Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI (PRESIDENT)
(917) 769-8014
Entity
Organization
Contact information
Practice address
2806 N NAVARRO ST STE A, SUITE A, VICTORIA, TX 77901-3937
(361) 573-2476
(361) 573-7411
Mailing address
P O BOX 12929, SAN ANTONIO, TX 78212
(210) 881-0890
(210) 569-6464
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
31262
TX
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149603
—
TX
01
—
2158697
PK
—
Enumeration date
07/05/2016
Last updated
09/19/2025
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