Dr. Lisandro Heredia, PharmD
Pharmacist in Bedford, TX. Individual provider (NPI-1).
NPI number1104723477
StatusActive
Last updated in NPPESOct 21, 2026
Details
- NPI
- 1104723477
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisandro Heredia
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2026
- Certification date
- Oct 21, 2026
- Last updated
- Oct 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 70832 | TX | Yes |
Practice location
1600 Hospital PkwyBedford, TX 76022-6913
Phone 817-848-4030
Mailing address
3408 Sparta DrCorinth, TX 76210-1716
Phone 214-707-0221
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