| NPI | 1841611779 |
|---|---|
| Doing Business As | LEGACY DRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | AZARAHI CARDOSO-GALVEZ President 305-443-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH27303) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |