Organization
LEGACY PHARMACY OC LLC
Active
Other names
legacy pharmacy oc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIPTI A SMART PHARM.D (PARTNER)
(386) 218-4993
Entity
Organization
Contact information
Practice address
921 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8266
(386) 218-4993
(386) 218-4913
Mailing address
921 TOWN CENTER DR STE 100, ORANGE CITY, FL 32763-8266
(862) 184-9933
(386) 218-4913
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
09/25/2023
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