SOUTHLAND LEGEND PHARMACY

TYLER, TX
NPI1225142219
Entity TypeOrganization
Authorized ContactDOUG BENEDETTI
PIC
903-534-8218
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
(Licence: TX  17039)
Additional Taxonomies3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2006-08-18
Last Update Date2020-08-22
Business Address
SOUTHLAND LEGEND PHARMACY
5201 S BROADWAY AVE STE 100
TYLER, TX 75703-3748
Phone number: 903-534-8218
Mailing Address
SOUTHLAND LEGEND PHARMACY
5201 S BROADWAY AVE STE 100
TYLER, TX 75703-3748
Phone number: