# MLDP OF TEXAS LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEGENDS PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386749760
- **Authorized official:** DR. ANGELA DIPAOLO PHARMD (VP OF PHARMACY OPERATIONS)
- **Authorized official phone:** (210) 510-2692

## Contact information

- **Practice address:** 222 BELL LN STE 5A, WEST MONROE, LA 71291-6303
- **Practice address phone:** (318) 998-3018
- **Practice address fax:** (318) 998-3020
- **Mailing address:** 6601 BLANCO RD, SUITE 201, SAN ANTONIO, TX 78216-6102
- **Mailing address phone:** (210) 510-2692
- **Mailing address fax:** (210) 736-4438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY005579IR | LA | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 03/05/2024