Organization
MLDP OF TEXAS LP
Active
Other names
LEGENDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA DIPAOLO PHARM D (VP OF PHARMACY OPERATIONS)
(210) 510-2692
Entity
Organization
Contact information
Practice address
6601 BLANCO RD STE 250, SAN ANTONIO, TX 78216-6105
(210) 434-2477
(855) 298-6576
Mailing address
6601 BLANCO RD, SUITE 201, SAN ANTONIO, TX 78216-6102
(210) 510-2692
(210) 736-4438
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
24014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2097650
PK
—
05
—
350197
—
TX
Enumeration date
11/28/2006
Last updated
03/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us