# LEGACY CONSULTANT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376825547
- **Authorized official:** MRS. LINDA Y CORBIN RPH (PHARMACY MANAGER)
- **Authorized official phone:** (804) 441-8812

## Contact information

- **Practice address:** 7505 RIGHT FLANK RD STE 710, MECHANICSVILLE, VA 23116-3865
- **Practice address phone:** (804) 441-8812
- **Practice address fax:** (804) 559-8195
- **Mailing address:** 7505 RIGHT FLANK RD STE 710, MECHANICSVILLE, VA 23116-3865
- **Mailing address phone:** (804) 441-8812
- **Mailing address fax:** (804) 559-8195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 0201004417 | VA | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/14/2011