Organization
LIFECARE PHARMACY OF DENVER CITY INC
Active
Organization
LIFECARE PHARMACY OF DENVER CITY INC
Active
Other names
Liberty Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
PREM KALIDINDI (MEMBER/CFO)
(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 DR, DENVER CITY, TX 79323-2749
(806) 592-2765
(806) 592-8689
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29152
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146763
—
TX
01
—
2138461
PK
—
Enumeration date
11/07/2006
Last updated
12/18/2025
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