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Contact Information

FIESTA RX LLC
407 E ORANGE AVE
ORANGE GROVE, TX78372
 Phone: 361-384-4077
 Fax: 361-384-4209
 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

NPI Profile & details for FIESTA RX LLC

NPI # 1235754078
LBN Legal business name FIESTA RX LLC
Authorized official JODY WELCHANS - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2020
Last updated 03/13/2026 - About 3 months ago
Identifiers
TX Other 33272 BOARD OF PHARMACY LICENSE
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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