| NPI | 1700807773 |
|---|---|
| Doing Business As | UNION AVENUE LEGEND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JATIN PATEL Owner 732-356-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00584200) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2014-10-23 |