# MLDP OF TEXAS LP

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

## Provider details

- **NPI number:** 1538235643
- **Authorized official:** ANGELA DIPAOLO PHARM D (VP OF PHARMACY OPERATIONS)
- **Authorized official phone:** (210) 510-2692

## Contact information

- **Practice address:** 6601 BLANCO RD STE 250, SAN ANTONIO, TX 78216-6105
- **Practice address phone:** (210) 434-2477
- **Practice address fax:** (855) 298-6576
- **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 | — |
| 3336L0003X | Long Term Care Pharmacy | 24014 | TX | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 03/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2097650 | PK | — |
| 05 | — | 350197 | — | TX |