Individual provider · Type 1 NPI

Lisandro Heredia, PharmD

Pharmacist · Bedford, TX

NPI number 1104723477 Active

Practice location

1600 Hospital Pkwy
Bedford, TX 76022-6913

Call (817) 848-4030 Map

Mailing address

3408 Sparta Dr
Corinth, TX 76210-1716

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X70832 (TX)

Pharmacist: 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 modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104723477

Lisandro Heredia, PharmD's National Provider Identifier is 1104723477, issued on Oct 21, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bedford, TX. The record was last updated on Oct 21, 2026.