Organization
LEGACY PARK DISCOUNT PHARMACY
Active
Other names
Legacy Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAMESH REDDY NIMMALA (PHARMACY MANAGER)
(407) 730-7989
Entity
Organization
Contact information
Practice address
10967 LAKE UNDERHILL RD STE 118, ORLANDO, FL 32825-4454
(407) 730-7989
(407) 730-7995
Mailing address
10967 LAKE UNDERHILL RD STE 118, ORLANDO, FL 32825-4454
(407) 730-7989
(407) 730-7995
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/04/2023
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