Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wycliff Pharmacy

Organization Pharmacy · NPI 1265974737

Wycliff Pharmacy is a Pharmacy in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
2

Practice location Address checks out

4309 Lemmon Ave
Dallas, TX 75219-2706
Phone: (972) 227-2126
Fax: (972) 227-1678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 31268 (TX)
Pharmacy Taxonomy 333600000X

Record details

NPI number1265974737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prem Kalidindi — Board Member · (917) 769-8014
Other names Fiesta Lifecare Pharmacy 6, Llc; Fiesta Lifecare Pharmacy 6, Llc
NPI enumeratedNovember 15, 2016
Last updated in NPPESSeptember 19, 2025
Mailing addressPo Box 12929, San Antonio, TX 78212-0929

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