Organization
LEGACY DRUGSTORE INC
Active
Other names
Legacy Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
GURDINE SOMA (PHARMACIST, OWNER)
(908) 352-0050
Entity
Organization
Contact information
Practice address
400 S BROAD ST, ELIZABETH, NJ 07202-3502
(908) 352-0050
(908) 352-0075
Mailing address
400 S BROAD ST, ELIZABETH, NJ 07202-3502
(908) 352-0050
(908) 352-0075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00703600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125679
PK
—
Enumeration date
05/28/2010
Last updated
02/17/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up