Organization
LEGACY CONSULTANT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA Y CORBIN RPH (PHARMACY MANAGER)
(804) 441-8812
Entity
Organization
Contact information
Practice address
7505 RIGHT FLANK RD STE 710, MECHANICSVILLE, VA 23116-3865
(804) 441-8812
(804) 559-8195
Mailing address
7505 RIGHT FLANK RD STE 710, MECHANICSVILLE, VA 23116-3865
(804) 441-8812
(804) 559-8195
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
0201004417
VA
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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