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Organization
LEGENDARY CARE CONSULTING
Active
Organization
LEGENDARY CARE CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKUR JETLEY PHARM D (OWNER)
(973) 568-7830
Entity
Organization
Contact information
Practice address
19 AMELIA ST, NORTH CALDWELL, NJ 07006-4155
(973) 568-7830
Mailing address
19 AMELIA ST, NORTH CALDWELL, NJ 07006-4155
(973) 568-7830
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
28RI02901900
NJ
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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