Fiesta Pharmacy is a Pharmacist in Dallas, Texas. Fiesta Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Fiesta Pharmacy is 1891837720. The last update date is 2020-08-22.
Fiesta Pharmacy's current location address is 6190 Lyndon B Johnson Fwy, Dallas, Texas. You can contact this provider via phone number 9728660017 and fax number 9728660019. The mailing address for Fiesta Pharmacy is 6190 Lyndon B Johnson Fwy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fiesta Pharmacy |
|---|---|
| Address | 6190 Lyndon B Johnson Fwy, Dallas, Texas |
| Phone Number | 9728660017 |
| Fax Number | 9728660019 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Nwaorgu C Prince |
| Telephone Number | 2142758066 |
NPI Number Detail
| NPI Number | 1891837720 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6190 Lyndon B Johnson Fwy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752406344 |
| Phone Number | 9728660017 |
| Fax Number | 9728660019 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 23938 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 145505 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fiesta Pharmacy by the Centers for Medicare & Medicaid Services?
The Fiesta Pharmacy has been issued the NPI (National Provider Identifier) 1891837720, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fiesta Pharmacy's facilities are geographically located?
The facilities of Fiesta Pharmacy are physically situated at the following location: 6190 Lyndon B Johnson Fwy, Dallas, TX, 752406344.
What is Fiesta Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Fiesta Pharmacy is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1891837720 to Fiesta Pharmacy?
The Centers for Medicare & Medicaid Services assigned the 1891837720 to Fiesta Pharmacy on 2007-02-14.
When was the Fiesta Pharmacy's information last updated?
The Fiesta Pharmacy's information was last updated on 2020-08-22.
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