FIESTA LIFECARE PHARMACY 3 LLC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

FIESTA LIFECARE PHARMACY 3 LLC

707 23RD ST
SUITE F
GALVESTON, TX 77550

Phone: 409-877-7029
Fax: 281-549-5957
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community/Retail Pharmacy	3336C0003X	58	Medical Supply Company with Pharmacist
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for FIESTA LIFECARE PHARMACY 3 LLC

NPI Number 1174065643

LBN Legal business name FIESTA LIFECARE PHARMACY 3 LLC

Authorized official PREM KALIDINDI - (OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/15/2016

Last updated 12/13/2019 - About 6 years ago

Identifiers

TX	License #	31265
TX	Medicaid	14594
TX	Medicaid	150052
	Other	2164062	PK

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FIESTA LIFECARE PHARMACY 3 LLC

Contact Information

Specialty

Community/Retail Pharmacy

Pharmacy

NPI Profile & details for FIESTA LIFECARE PHARMACY 3 LLC

Reviews for FIESTA LIFECARE PHARMACY 3 LLC