Fiesta Pharmacy Llc

NPI 1730283706 - Pharmacy - 333600000X

NPI Details
NPI 1730283706
Enumeration Date 09/12/2006
Last Updated 10/20/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELIAS ELIAS
Position OWNER
Phone (214) 275-8066
Fax (214) 275-7796
Practice Location
2947 S BUCKNER BLVD
STE 500
DALLAS TX, 75227-6952, US
Phone (214) 275-8066
Fax (214) 275-7796
Business Location
2947 S BUCKNER BLVD
SUITE #500
DALLAS TX, 75227-6952, US
Phone (214) 275-8066
Fax (214) 275-7796
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Fiesta Pharmacy Llc NPI is 1730283706, taxonomy code is 333600000X Fiesta Pharmacy Llc physically located at 2947 S Buckner Blvd, Dallas TX, 75227-6952. NPI Number 1033115704 has the healthcare provider type.

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1730283706 NPI number is provided on an as is basis without warranty of any kind. 1730283706 is maintained by the National Plan & Provider Enumeration System. The contents of Fiesta Pharmacy Llc are for informational purposes only.