| NPI | 1154101731 |
|---|---|
| Doing Business As | LEGACY PHARMACY OC |
| Entity Type | Organization |
| Authorized Contact | DIPTIBEN SMART Pharmacy Manager 386-218-4993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-04 |