# LEGENDARY CARE CONSULTING

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

## Provider details

- **NPI number:** 1669917613
- **Authorized official:** ANKUR JETLEY PHARM D (OWNER)
- **Authorized official phone:** (973) 568-7830

## Contact information

- **Practice address:** 19 AMELIA ST, NORTH CALDWELL, NJ 07006-4155
- **Practice address phone:** (973) 568-7830
- **Mailing address:** 19 AMELIA ST, NORTH CALDWELL, NJ 07006-4155
- **Mailing address phone:** (973) 568-7830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1835P0018X | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 28RI02901900 | NJ | Yes |

## Other

- **Enumeration date:** 12/30/2016
- **Last updated:** 12/30/2016