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Organization

LEGACY SPECIALTY PHARMACY CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW SANGER (MANAGING MEMBER)
(718) 456-7300
Entity
Organization

Contact information

Practice address
6668 FRESH POND RD, RIDGEWOOD, NY 11385-3912
(718) 456-7300
(718) 456-7302
Mailing address
6851 FRESH POND RD # 3STO, RIDGEWOOD, NY 11385-5296
(718) 456-7300
(718) 456-7302

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary

Other

Enumeration date
07/28/2019
Last updated
09/09/2024
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