| NPI | 1144733072 |
|---|---|
| Doing Business As | LEGACY COMPOUNDING INC. |
| Entity Type | Organization |
| Authorized Contact | SAMUEL COSTELLO Pharmacist In Charge 256-353-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: AL 114750) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-07-19 |