Organization
LEGACY PHARMACY CF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH REDDY NIMMALA (PARTNER)
(407) 730-7989
Entity
Organization
Contact information
Practice address
1060 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4104
(407) 730-7989
Mailing address
10967 LAKE UNDERHILL RD STE 118, ORLANDO, FL 32825-4454
(407) 730-7989
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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