| NPI | 1689920498 |
|---|---|
| Doing Business As | LEGACY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOEL MORTON Medical Director 602-561-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NJ 28RS00723000) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2018-07-19 |